| Trinity Valley Oral Surgery & Dental Implant Center | |
|
215 S Fm 548 Suite C Forney TX 75126-4129 | |
| (469) 689-0704 | |
| (469) 689-0709 |
| Full Name | Trinity Valley Oral Surgery & Dental Implant Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 215 S Fm 548, Forney, Texas |
| Authorized Official Name and Position | Thomas K Draper (OWNER) |
| Authorized Official Contact | 4696890704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Valley Oral Surgery & Dental Implant Center 215 S Fm 548 Suite C Forney TX 75126-4129 Ph: (469) 689-0704 | Trinity Valley Oral Surgery & Dental Implant Center 215 S Fm 548 Suite C Forney TX 75126-4129 Ph: (469) 689-0704 |
| NPI Number | 1700157146 |
|---|---|
| Provider Enumeration Date | 01/17/2012 |
| Last Update Date | 08/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700157146 | NPI | - | NPPES |
| 1306018320 | Other | TX | INDIVIDUAL NPI |
| 206992419 | Medicaid | TX | |
| 288152601 | Other | TX | FACILITY TPI MEDICAID |
| OPT0005 | Other | TX | MEDICARE OPT OUT PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 24789 (Texas) | Primary |
Forney Modern Dentistry And Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 North Fm 548, Suite 105, Forney, TX 75126 Phone: 972-552-1224 Fax: 972-692-5433 | |
Airos Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 823 N Fm 548 Ste 130, Forney, TX 75126 Phone: 469-431-0199 | |
Charisma Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 E Us Highway 80, Suite 130, Forney, TX 75126 Phone: 469-703-8030 Fax: 469-703-8031 | |
Just For Kids Dentistry Of Forney Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 S Fm 548 Ste B, Forney, TX 75126 Phone: 972-564-2222 Fax: 972-564-2322 | |
Dental Family Circle Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 992 E Us Highway 80 Ste D, Forney, TX 75126 Phone: 972-552-1012 | |
Forney Family Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 571 Fm 548 Ste 114, Forney, TX 75126 Phone: 972-552-9914 | |
Smile Workshop Forney, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 N. Fm 548, #201, Forney, TX 75126 Phone: 972-810-1782 Fax: 972-810-1783 |