| Stonebridge Ranch Smiles | |
|
5881 Virginia Pkwy Ste 500 Mckinney TX 75071-5624 | |
| (972) 984-1882 | |
| Not Available |
| Full Name | Stonebridge Ranch Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5881 Virginia Pkwy Ste 500, Mckinney, Texas |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonebridge Ranch Smiles 5881 Virginia Pkwy Ste 500 Mckinney TX 75071-5624 | Stonebridge Ranch Smiles 5881 Virginia Pkwy Ste 500 Mckinney TX 75071-5624 Ph: (972) 984-1882 |
| NPI Number | 1023657095 |
|---|---|
| Provider Enumeration Date | 12/23/2019 |
| Last Update Date | 12/23/2019 |
| Certification Date | 12/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023657095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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