| Tracey Dental | |
|
301 N Custer Rd Ste 110 Mckinney TX 75071-4828 | |
| (214) 250-3818 | |
| Not Available |
| Full Name | Tracey Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 301 N Custer Rd Ste 110, Mckinney, Texas |
| Authorized Official Name and Position | Dorian R Long (OWNER) |
| Authorized Official Contact | 2142503818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Dental 389 N Custer Rd Mckinney TX 75071-4705 Ph: () - | Tracey Dental 301 N Custer Rd Ste 110 Mckinney TX 75071-4828 Ph: (214) 250-3818 |
| NPI Number | 1821572736 |
|---|---|
| Provider Enumeration Date | 09/18/2018 |
| Last Update Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821572736 | NPI | - | NPPES |
| 1760936181 | Other | TX | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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