Organization
PREECE CHURCH AND ASSOCIATES, PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE STANLEY PREECE DDS (MANAGER)
(817) 292-2004
Entity
Organization
Contact information
Practice address
5700 EDWARDS RANCH RD, SUITE 100, FORT WORTH, TX 76109-4127
(817) 292-2004
Mailing address
5700 EDWARDS RANCH RD, SUITE 100, FORT WORTH, TX 76109-4127
(817) 292-2004
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
17828
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0912362-03
—
TX
01
—
1245251362
NPI, TYPE 1
TX
01
—
1407863806
NPI, TYPE 1
—
01
—
1881949592
NPI, TYPE 1
—
05
—
2168825-01
—
TX
05
—
3608952-01
—
TX
Enumeration date
12/14/2016
Last updated
12/14/2016
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