| Surepoint Dental Professional Grand Prairie Pllc | |
|
355 E Westchester Pkwy Suite 200 Grand Prairie TX 75052-2847 | |
| (972) 619-9108 | |
| Not Available |
| Full Name | Surepoint Dental Professional Grand Prairie Pllc |
|---|---|
| Speciality | Dentist |
| Location | 355 E Westchester Pkwy, Grand Prairie, Texas |
| Authorized Official Name and Position | Roy Smith (OWNER) |
| Authorized Official Contact | 2142592484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surepoint Dental Professional Grand Prairie Pllc 5005 Lbj Fwy Suite 1200 Dallas TX 75244-6100 Ph: (214) 259-2484 | Surepoint Dental Professional Grand Prairie Pllc 355 E Westchester Pkwy Suite 200 Grand Prairie TX 75052-2847 Ph: (972) 619-9108 |
| NPI Number | 1508311986 |
|---|---|
| Provider Enumeration Date | 08/16/2016 |
| Last Update Date | 08/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508311986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12072 (Texas) | Primary |
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