Organization
FLINT DENTAL GROUP
Active
Other names
Creekside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ROBERT JENNINGS DDS DDS (OWNER/SOLE MEMBER)
(940) 206-8956
Entity
Organization
Contact information
Practice address
17159 FM 2493, FLINT, TX 75762-8331
(064) 903-8946
Mailing address
4324 LAZY CREEK DR, TYLER, TX 75707-1554
(903) 330-2509
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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