# ATHENA DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891657615
- **Authorized official:** DR. LUCRECIA JANE-CEBALLOS DDS (OWNER DENTIST)
- **Authorized official phone:** (469) 905-0016

## Contact information

- **Practice address:** 7651 ELDORADO PKWY STE 200, MCKINNEY, TX 75070-1735
- **Practice address phone:** (469) 905-0016
- **Mailing address:** 7651 ELDORADO PKWY STE 200, MCKINNEY, TX 75070-1735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2025
- **Last updated:** 12/01/2025