Organization
DERBY FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R JENNINGS DDS (OWNER)
(940) 206-8956
Entity
Organization
Contact information
Practice address
3410 FAR WEST BLVD STE 340, AUSTIN, TX 78731-3272
(512) 795-0128
Mailing address
2109 COMMERCE ST STE 200, DALLAS, TX 75201-4350
(972) 248-1221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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