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Organization

DENTAL HEALTH ASSOCIATES OF TEXAS, PC

Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Other names
Legacy Drive Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Authorized official
HEARTLAND DENTAL (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization

Contact information

Practice address
5800 LEGACY DR STE C8, PLANO, TX 75024-7101
(469) 368-0101
Mailing address
5800 LEGACY DR STE C8, PLANO, TX 75024-7101
(469) 368-0101

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/18/2020
Last updated
04/03/2023
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