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, L&C)
(629) 999-5014
Entity
Organization
Contact information
Practice address
6600 BRENTWOOD STAIR RD, FORT WORTH, TX 76112-3303
(629) 999-5014
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
Enumeration date
09/07/2023
Last updated
09/07/2023
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