Organization
DENTAL HEALTH PROGRAMS, INC.
Active
Other names
Community Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
TODD CRUSE (PRESIDENT)
(629) 999-5006
Entity
Organization
Contact information
Practice address
8224 PARK LN, SUITE 125, DALLAS, TX 75231-6011
(214) 987-1131
(214) 387-1012
Mailing address
PO BOX 1168, ANNISTON, AL 36202-1168
(256) 741-7340
(256) 741-7373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329508101
—
TX
Enumeration date
01/22/2014
Last updated
02/24/2016
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