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Organization

COUNTRYMAN DENTISTRY, LLC

Active
Other names
North Richardson Dentistry Associates, Countryman Dentistry, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DALE BRYAN COUNTRYMAN DDS (OWNER)
(972) 231-2576
Entity
Organization

Contact information

Practice address
340 COIT RD STE 500, PLANO, TX 75075-5731
(972) 231-2576
(214) 602-5258
Mailing address
340 COIT RD STE 500, PLANO, TX 75075-5731
(972) 231-2576
(214) 602-5258

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1053576447
GENERAL
TX
01
1326254772
GENERAL
TX
01
1417203407
GENERAL
TX
Enumeration date
08/22/2017
Last updated
09/04/2025
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