Organization · Type 2 NPI
Dental Innovation of Plano
Dental Clinic/Center · Plano, TX
NPI number
1790352920
Active
Practice location
5940 W Parker Rd Ste 103
Plano, TX 75093-6404
Mailing address
2012 Southlake Glen Dr
Southlake, TX 76092-1422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | None listed |
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1790352920
Dental Innovation of Plano's National Provider Identifier is 1790352920, issued on Jun 7, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Plano, TX. The record was last updated on Jan 7, 2025.