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Organization
WAVERLY DENTAL-PLANO PLLC
Active
Organization
WAVERLY DENTAL-PLANO PLLC
Active
Other names
Waverly Dental, My Dentist in Plano
Organization subpart
No
Provider details
NPI number
Authorized official
NICK DEBARI (CE)
(929) 618-7162
Entity
Organization
Contact information
Practice address
6009 W PARKER RD STE 199, PLANO, TX 75093-8131
(214) 216-6374
Mailing address
6009 W PARKER RD STE 199, PLANO, TX 75093-8131
(214) 216-6374
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
09/01/2026
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