# ABY JACOB CHACKO, D.M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PREMIER DENTAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942322870
- **Authorized official:** DR. ABY A JACOB D.M.D. (DIRECTOR)
- **Authorized official phone:** (972) 530-3644

## Contact information

- **Practice address:** 6504 HIGHWAY 78, SUITE 146, SACHSE, TX 75048-3259
- **Practice address phone:** (972) 530-3644
- **Practice address fax:** (972) 530-3655
- **Mailing address:** 1417 PARKWOOD DR, CARROLLTON, TX 75007-6037
- **Mailing address phone:** (972) 530-3644
- **Mailing address fax:** (972) 530-3655

## Taxonomy

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

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/22/2020