# DENTAL PRACTICE GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia Park Dental/Flower Mound Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992982649
- **Authorized official:** DR. WILLIAM ROBERT JENNINGS JR. DDS (DOCTOR/OWNER)
- **Authorized official phone:** (940) 206-8956

## Contact information

- **Practice address:** 651 N DENTON TAP RD STE 170, COPPELL, TX 75019-7937
- **Practice address phone:** (972) 899-4900
- **Practice address fax:** (972) 899-4928
- **Mailing address:** 2002 S STEMMONS FWY STE 500, LAKE DALLAS, TX 75065-3633
- **Mailing address phone:** (940) 321-2205
- **Mailing address fax:** (940) 321-2054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 18962 | TX | Yes |

## Other

- **Enumeration date:** 01/24/2008
- **Last updated:** 01/24/2008