# DENTAL HEALTH ASSOCIATES OF TEXAS, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL HEALTH ASSOCIATES OF TEXAS, PC
- **Other names:** Dental Care at Oakmont
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861236135
- **Legal business name:** DENTAL HEALTH ASSOCIATES OF TEXAS, PC
- **Authorized official:** CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 764-8609

## Contact information

- **Practice address:** 11104 SLIDE RD, LUBBOCK, TX 79424-2439
- **Practice address phone:** (806) 705-7102
- **Practice address fax:** (806) 705-7156
- **Mailing address:** 11104 SLIDE RD, LUBBOCK, TX 79424-2439
- **Mailing address phone:** (806) 705-7102
- **Mailing address fax:** (806) 705-7156

## Taxonomy

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

## Other

- **Enumeration date:** 06/21/2024
- **Last updated:** 06/21/2024