Organization
WAXAHACHIE FAMILY DENTISTRY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT CLINTON D.D.S. (DENTIST/OWNER)
(972) 937-4370
Entity
Organization
Contact information
Practice address
125 PARK PLACE BLVD, WAXAHACHIE, TX 75165-9106
(972) 937-4370
(972) 937-4369
Mailing address
125 PARK PLACE BLVD, WAXAHACHIE, TX 75165-9106
(972) 937-4370
(972) 937-4369
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
19151
TX
332BC3200X
Customized Equipment (DME)
Primary
19151
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477767903
PERSONAL NPI
TX
Enumeration date
03/04/2016
Last updated
11/07/2017
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