# ADVANCED DENTAL IMAGING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033376124
- **Authorized official:** DR. WILLIAM LAURENCE OLIVER D.D.S. (OWNER)
- **Authorized official phone:** (682) 738-3027

## Contact information

- **Practice address:** 5005 HERITAGE AVE, SUITE 180, COLLEYVILLE, TX 76034-5913
- **Practice address phone:** (682) 738-3027
- **Mailing address:** 5005 HERITAGE AVE, SUITE 180, COLLEYVILLE, TX 76034-5913
- **Mailing address phone:** (682) 738-3027
- **Mailing address fax:** (800) 618-8507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | TX | Yes |

## Other

- **Enumeration date:** 05/18/2008
- **Last updated:** 05/19/2008