Individual
JOE W POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
207 W BELT LINE RD, CEDAR HILL, TX 75104-2066
(972) 291-1501
(972) 291-1503
Mailing address
815 KNOLL MANOR CT, CEDAR HILL, TX 75104-7807
(972) 291-1501
(972) 291-1503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10071
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P0387
BLUE CROSS AND BLUE SHIEL
TX
Enumeration date
08/05/2006
Last updated
07/08/2007
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