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
1618 CANYON CREEK DR STE 110, TEMPLE, TX 76502-3273
(000) 000-0000
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
06/13/2023
Last updated
06/13/2023
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