Organization
TEXAS DENTAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI D MORGAN (PRACTICE MANAGER)
(469) 296-8680
Entity
Organization
Contact information
Practice address
1180 N COIT RD STE 40, PROSPER, TX 75078
(469) 296-8680
(269) 296-8681
Mailing address
1180 N COIT ROAD, SUITE 40, PROSPER, TX 75078
(469) 296-8680
(469) 296-8681
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
23867
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19330
TX
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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