| Coppell Star Dental Group PC | |
|
651 N Denton Tap Rd Ste 170 Coppell TX 75019-7937 | |
| (972) 899-1208 | |
| Not Available |
| Full Name | Coppell Star Dental Group PC |
|---|---|
| Speciality | Dentist |
| Location | 651 N Denton Tap Rd Ste 170, Coppell, Texas |
| Authorized Official Name and Position | Young Shim (PRESIDENT) |
| Authorized Official Contact | 4045120760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coppell Star Dental Group PC 651 N Denton Tap Rd Ste 170 Coppell TX 75019-7937 Ph: (972) 899-1208 | Coppell Star Dental Group PC 651 N Denton Tap Rd Ste 170 Coppell TX 75019-7937 Ph: (972) 899-1208 |
| NPI Number | 1710776661 |
|---|---|
| Provider Enumeration Date | 05/06/2025 |
| Last Update Date | 05/06/2025 |
| Certification Date | 05/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710776661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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