# PROGRESSIVE ENDODONTICS, P.A.

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

## Provider details

- **NPI number:** 1366628539
- **Authorized official:** KATHLEEN R. CRAIG D.D.S., M.S. (PRESIDENT)
- **Authorized official phone:** (214) 528-4196

## Contact information

- **Practice address:** 4514 COLE AVE, SUIRE 930, DALLAS, TX 75205-5412
- **Practice address phone:** (214) 528-4196
- **Practice address fax:** (214) 528-2615
- **Mailing address:** 4514 COLE AVE, SUIRE 930, DALLAS, TX 75205-5412
- **Mailing address phone:** (214) 528-4196
- **Mailing address fax:** (214) 528-2615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 16176 | TX | Yes |

## Other

- **Enumeration date:** 01/17/2008
- **Last updated:** 01/17/2008