# ADUDDELL DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1659803112
- **Authorized official:** DR. KEVIN ADUDDELL (MANAGER)
- **Authorized official phone:** (972) 985-4765

## Contact information

- **Practice address:** 1300 MEDICAL AVE STE 101, PLANO, TX 75075-7798
- **Practice address phone:** (972) 985-4765
- **Mailing address:** 1300 MEDICAL AVE STE 101, PLANO, TX 75075-7798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D28976 | TX | Yes |

## Other

- **Enumeration date:** 04/03/2017
- **Last updated:** 04/03/2017