Organization
ADVANTAGE DENTAL ORAL HEALTH CENTER OF TEXAS PC
Active
Other names
Advantage Dental Plus
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRIE EDMONDSON (SR MANAGER)
(629) 999-5014
Entity
Organization
Contact information
Practice address
3719 N FRY RD STE F, KATY, TX 77449-6740
(832) 631-9555
Mailing address
3322 W END AVE STE 400, NASHVILLE, TN 37203-6805
(629) 999-5014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
457261201
—
TX
Enumeration date
03/29/2023
Last updated
05/17/2023
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