# ADVANTAGE DENTAL ORAL HEALTH CENTER OF TEXAS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advantage Dental Plus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760166490
- **Authorized official:** SHERRIE EDMONDSON (SR MANAGER)
- **Authorized official phone:** (629) 999-5014

## Contact information

- **Practice address:** 1618 CANYON CREEK DR STE 110, TEMPLE, TX 76502-3273
- **Practice address phone:** (000) 000-0000
- **Mailing address:** 3322 W END AVE STE 400, NASHVILLE, TN 37203-6805
- **Mailing address phone:** (629) 999-5014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | — |

## Other

- **Enumeration date:** 06/13/2023
- **Last updated:** 06/13/2023