# LONGVIEW FAMILY DENTAL II

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Longview Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598322463
- **Authorized official:** DR. WILLIAM ROBERT JENNINGS DDS (OWNER)
- **Authorized official phone:** (940) 206-8956

## Contact information

- **Practice address:** 2901 BILL OWENS PKWY, LONGVIEW, TX 75605-1601
- **Practice address phone:** (903) 759-0765
- **Mailing address:** 17480 DALLAS PKWY STE 213, DALLAS, TX 75287-7304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/25/2019
- **Last updated:** 05/25/2019