| Dentistry By Design Pa | |
|
3013 E Renner Rd Ste 100 Richardson TX 75082-3577 | |
| (972) 231-3013 | |
| Not Available |
| Full Name | Dentistry By Design Pa |
|---|---|
| Speciality | Dentist |
| Location | 3013 E Renner Rd Ste 100, Richardson, Texas |
| Authorized Official Name and Position | Bradford Tiner (DENTIST) |
| Authorized Official Contact | 9722313013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry By Design Pa 3013 E Renner Rd Ste 100 Richardson TX 75082-3577 Ph: (972) 231-3013 | Dentistry By Design Pa 3013 E Renner Rd Ste 100 Richardson TX 75082-3577 Ph: (972) 231-3013 |
| NPI Number | 1841551421 |
|---|---|
| Provider Enumeration Date | 05/31/2012 |
| Last Update Date | 07/23/2024 |
| Medicare PECOS PAC ID | 1355882192 |
|---|---|
| Medicare Enrollment ID | O20240920001358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841551421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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