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Organization
PROVIDENCE VILLAGE DENTISTRY, PC
Active
Organization
PROVIDENCE VILLAGE DENTISTRY, PC
Active
Other names
Providence Village Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY ALLEN PARKER DDS (OWNER)
(940) 758-7106
Entity
Organization
Contact information
Practice address
808 MAIN ST., SUITE 300, PROVIDENCE VILLAGE, TX 76227
(940) 758-7106
(940) 488-4001
Mailing address
PO BOX 660041, DALLAS, TX 75266-0041
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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