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Organization
PRIMROSE DENTAL GROUP, PLLC
Active
Organization
PRIMROSE DENTAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKSON FULLER DDS (OWNER)
(208) 206-9375
Entity
Organization
Contact information
Practice address
3522 DENTON HWY, HALTOM CITY, TX 76117-3210
(817) 918-4470
Mailing address
2600 VILLAGE PKWY STE 120, HIGHLAND VILLAGE, TX 75077-3285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/23/2026
Last updated
09/23/2026
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