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Organization
FREDRICK J. PLATT, DDS, PLLC
Active
Organization
FREDRICK J. PLATT, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRICK JOSEPH PLATT DDS (OWNER)
(903) 592-7111
Entity
Organization
Contact information
Practice address
2020 LINDBERGH DR, TYLER, TX 75703-1714
(903) 592-7111
(903) 535-9210
Mailing address
2020 LINDBERGH ST, TYLER, TX 75703-1714
(903) 592-7111
(903) 535-9210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25670
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3153009-01
—
TX
05
—
3153009-02
—
TX
Enumeration date
07/03/2012
Last updated
06/06/2019
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