Individual provider · Type 1 NPI

Jeffrey Scott Lide, DDS

General Practice Dentistry · Richardson, TX

NPI number 1508914011 Active

About NPI 1508914011

Jeffrey Scott Lide, DDS's National Provider Identifier is 1508914011, issued on Jan 8, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Richardson, TX. The record was last updated on Jul 8, 2007.