# 110 DENTISTRY & ORTHODONTICS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 110 Dental & Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477143444
- **Authorized official:** FAITH GASKINS (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (972) 869-3789

## Contact information

- **Practice address:** 308 HWY 110 N STE A, WHITEHOUSE, TX 75791-3112
- **Practice address phone:** (972) 590-8809
- **Practice address fax:** (972) 619-7622
- **Mailing address:** PO BOX 734753, DALLAS, TX 75373-3112
- **Mailing address phone:** (972) 590-8809
- **Mailing address fax:** (972) 619-7622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2021
- **Last updated:** 01/11/2022