Organization · Type 2 NPI
Restore Dental PLLC
Dental Clinic/Center · Corsicana, TX
NPI number
1104215367
Active
Practice location
3108 W State Highway 22
Corsicana, TX 75110-2435
Fax (903) 900-4184
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 22213 (TX) |
| Dental Clinic/Center Primary | 261QD0000X | 22213 (TX) |
Dental Clinic/Center: Definition to come...
5 other providers at this address
- Brock Medical, PLLCFamily Medicine Physician Corsicana, TX NPI 1063113991
- Network Provider AssociatesGeneral Practice Dentistry Corsicana, TX NPI 1033294319
- Anna TomlinsonDental Hygienist Corsicana, TX NPI 1154541134
- James AdamsDentist Corsicana, TX NPI 1245454610
- Jana Johnson Brock, MDFamily Medicine Physician Corsicana, TX NPI 1124121108
About NPI 1104215367
Restore Dental PLLC's National Provider Identifier is 1104215367, issued on Jan 12, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Corsicana, TX. The record was last updated on Jan 14, 2016.