Organization
SPROUT DENTISTRY FOR KIDS ALLEN, PLLC
Active
Other names
Sprout Dentistry for Kids
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN N CHAN DDS (PEDIATRIC DENTIST/PARTNER)
(469) 301-3212
Entity
Organization
Contact information
Practice address
939 W STACY RD STE 140, ALLEN, TX 75013-5049
(469) 663-0098
(469) 663-0097
Mailing address
939 W STACY RD STE 140, ALLEN, TX 75013-5049
(469) 663-0098
(469) 663-0097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
02/23/2022
Last updated
06/07/2024
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