Organization
BUCKNER MARKET PLACE DENTAL, P.A.
Active
Other names
Bear Creek Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E. TAFEL D.D.S. (PRESIDENT)
(214) 420-7000
Entity
Organization
Contact information
Practice address
2947 S BUCKNER BLVD STE 100, DALLAS, TX 75227-6944
(214) 381-3800
(214) 381-4500
Mailing address
PO BOX 9280, DALLAS, TX 75209-8517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159801301
—
TX
Enumeration date
01/07/2007
Last updated
03/01/2016
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