Organization
ROCK DENTAL TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAY PHILMO PHILMON (CREDENTIALING MANAGER)
(501) 462-2062
Entity
Organization
Contact information
Practice address
1921 N PRESTON RD STE 80, PROSPER, TX 75078-2788
(972) 934-6222
Mailing address
PO BOX 3450, LITTLE ROCK, AR 72203-3450
(501) 781-2777
(501) 781-2778
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
02/06/2026
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