# DENTAL HEALTH ASSOCIATES OF TEXAS, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL HEALTH ASSOCIATES OF TEXAS, PC
- **Other names:** Vista Trail Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194533315
- **Legal business name:** DENTAL HEALTH ASSOCIATES OF TEXAS, PC
- **Authorized official:** CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 764-8609

## Contact information

- **Practice address:** 8050 WOODBRIDGE PKWY, SACHSE, TX 75048-6696
- **Practice address phone:** (469) 649-9353
- **Practice address fax:** (469) 649-9354
- **Mailing address:** 8050 WOODBRIDGE PKWY, SACHSE, TX 75048-6696
- **Mailing address phone:** (469) 649-9353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2024
- **Last updated:** 12/19/2024