| Tx Southern Dental Ppo Pc | |
|
5204 S Colony Blvd Ste 150 The Colony TX 75056-2390 | |
| (469) 656-7265 | |
| Not Available |
| Full Name | Tx Southern Dental Ppo Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5204 S Colony Blvd Ste 150, The Colony, Texas |
| Authorized Official Name and Position | Christine Nelson (VP, REVENUE CYCLE) |
| Authorized Official Contact | 4694506482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tx Southern Dental Ppo Pc 5830 Granite Pkwy Ste 780 Plano TX 75024-6775 Ph: (469) 450-6482 | Tx Southern Dental Ppo Pc 5204 S Colony Blvd Ste 150 The Colony TX 75056-2390 Ph: (469) 656-7265 |
| NPI Number | 1689355976 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 07/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689355976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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