Organization
PEDIATRIC DENTISTRY OF SHERMAN, PA
Active
Parent organization
PEDIATRIC DENTISTRY OF SHERMAN, PA
Other names
Pediatric Dentistry of Princeton
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC DENTISTRY OF SHERMAN, PA
Authorized official
DR. ROBERT WILLIAMSON D.D.S., M.S. (DIRECTOR/OWNER)
(972) 736-1000
Entity
Organization
Contact information
Practice address
275 W PRINCETON DR, SUITE 100, PRINCETON, TX 75407-9602
(972) 736-1000
(972) 736-1002
Mailing address
275 W PRINCETON DR, SUITE 100, PRINCETON, TX 75407-9602
(972) 736-1000
(972) 736-1002
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
23222
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316103443
—
TX
Enumeration date
11/01/2011
Last updated
12/13/2011
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