Organization
ADVANCED IMPLANT DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JENNINGS DDS (OWNER)
(409) 206-8956
Entity
Organization
Contact information
Practice address
3900 AMERICAN DR STE 100, PLANO, TX 75075-6191
(972) 964-2900
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
02/20/2023
Last updated
02/20/2023
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