| Thrive Dental Fm Pllc | |
|
17977 Preston Rd Ste A Dallas TX 75252-5661 | |
| (323) 898-3102 | |
| Not Available |
| Full Name | Thrive Dental Fm Pllc |
|---|---|
| Speciality | Dentist |
| Location | 17977 Preston Rd Ste A, Dallas, Texas |
| Authorized Official Name and Position | Nathan Coughlin (OWNER) |
| Authorized Official Contact | 9722489119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Dental Fm Pllc 5822 Vickery Blvd Dallas TX 75206-6336 Ph: (310) 429-7436 | Thrive Dental Fm Pllc 17977 Preston Rd Ste A Dallas TX 75252-5661 Ph: (323) 898-3102 |
| NPI Number | 1417687476 |
|---|---|
| Provider Enumeration Date | 06/13/2022 |
| Last Update Date | 06/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417687476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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