Organization
JOHN G. ENLOE, DDS, PLLC
Active
Other names
Creekside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GUY ENLOE DDS (OWNER/DENTIST)
(903) 894-6064
Entity
Organization
Contact information
Practice address
17159 FM 2493, FLINT, TX 75762
(903) 894-6064
(903) 894-6057
Mailing address
17159 FM 2493, FLINT, TX 75762
(903) 894-6064
(903) 894-6057
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14499
TX
332BC3200X
Customized Equipment (DME)
14499
TX
Other
Enumeration date
01/26/2009
Last updated
03/06/2017
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