# 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 Lake Lavon
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952270266
- **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:** 833 STATE HIGHWAY 78, LAVON, TX 75166-1303
- **Practice address phone:** (469) 209-4255
- **Mailing address:** 833 STATE HIGHWAY 78, LAVON, TX 75166-1303
- **Mailing address phone:** (469) 209-4255

## Taxonomy

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

## Other

- **Enumeration date:** 11/04/2025
- **Last updated:** 11/04/2025