Organization
ADVANCED DENTAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R JENNINGS DDS (OWNER)
(972) 248-1221
Entity
Organization
Contact information
Practice address
16131 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1002
(210) 714-5589
Mailing address
2109 COMMERCE ST # 200, DALLAS, TX 75201-4305
(972) 248-1221
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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