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Organization
TEXAS DENTAL PRACTICES PLLC
Active
Organization
TEXAS DENTAL PRACTICES PLLC
Active
Other names
Richardson General and Cosmetic Dentistry, Big Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY CROSS (OPERATIONS MANAGER)
(520) 732-9866
Entity
Organization
Contact information
Practice address
700 E CAMPBELL RD STE 240, RICHARDSON, TX 75081-2042
(972) 690-6653
(972) 680-8757
Mailing address
700 E CAMPBELL RD STE 240, RICHARDSON, TX 75081-2042
(972) 690-6653
(972) 680-8757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
07/04/2021
Last updated
05/14/2024
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