| Williams Square Dental Group | |
|
5205 N O'connor Blvd Suite 150 Irving TX 75039 | |
| (972) 556-2122 | |
| Not Available |
| Full Name | Williams Square Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 5205 N O'connor Blvd, Irving, Texas |
| Authorized Official Name and Position | Amanda Lightfoot (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 2147020708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Square Dental Group 15660 Dallas Pkwy Suite 925 Dallas TX 75248-3348 Ph: () - | Williams Square Dental Group 5205 N O'connor Blvd Suite 150 Irving TX 75039 Ph: (972) 556-2122 |
| NPI Number | 1073051777 |
|---|---|
| Provider Enumeration Date | 02/02/2017 |
| Last Update Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073051777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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