| Trinity Valley Oral Surgery & Dental Implant Center | |
|
215 S. Fm 548 Suite C Forney TX 75126 | |
| (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 | William Ralph Phillips (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 Ph: (469) 689-0704 | Trinity Valley Oral Surgery & Dental Implant Center 215 S. Fm 548 Suite C Forney TX 75126 Ph: (469) 689-0704 |
| NPI Number | 1912185703 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 02/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912185703 | NPI | - | NPPES |
| 1225036759 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 19017 (Texas) | Primary |
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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 | |
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