Organization
ABC DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN NIX D.D.S. (OWNER/DENTIST)
(972) 563-7633
Entity
Organization
Contact information
Practice address
101 E HIGH ST, TERRELL, TX 75160-2644
(972) 563-7633
(972) 551-0840
Mailing address
101 E HIGH ST, TERRELL, TX 75160-2644
(972) 563-7633
(972) 551-0840
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12043
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198096301
—
TX
Enumeration date
11/15/2012
Last updated
11/15/2012
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