Organization
DENTAL HEALTH PROGRAMS, INC.
Active
Other names
Community Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN SUTTON (EXECUTIVE DIRECTOR)
(214) 590-2969
Entity
Organization
Contact information
Practice address
801 CONOVER DRIVE, GRAND PRAIRIE, TX 75051-1519
(214) 590-2969
(214) 266-1001
Mailing address
PO BOX 532489, GRAND PRAIRIE, TX 75053
(214) 590-2969
(214) 266-1001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091293301
—
TX
Enumeration date
09/27/2005
Last updated
10/12/2015
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