Organization · Type 2 NPI

Dental Professionals of Texas, P.a.

General Practice Dentistry · Plano, TX

NPI number 1043712037 Active

Practice location

5044 Tennyson Pkwy Ste A
Plano, TX 75024-2953

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other general practice dentistry providers in Plano

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NPI record

NPI: 1043712037
Entity type: Organization (Type 2)
Issued: Mar 6, 2018
Last updated: Mar 6, 2018
Status: Active
Subpart: Yes of Dental Professionals of Texas, P.a.

Other names

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Tennyson Lake Dental · doing business as

Authorized official

Cassandra Petersen
Credentialing Team Lead
(217) 540-8972

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043712037

Dental Professionals of Texas, P.a.'s National Provider Identifier is 1043712037, issued on Mar 6, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Plano, TX. The record was last updated on Mar 6, 2018.