Organization
HIGHLAND DENTAL GROUP, PLLC
Active
Other names
Highland Village Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JACKSON FULLER DDS (DENTIST)
(469) 444-6500
Entity
Organization
Contact information
Practice address
2600 VILLAGE PKWY STE 120, HIGHLAND VILLAGE, TX 75077-3285
(469) 444-6500
Mailing address
2600 VILLAGE PKWY STE 120, HIGHLAND VILLAGE, TX 75077-3285
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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