| Fountain Park Dental | |
|
1001 Long Prairie Rd Ste 100 Flower Mound TX 75022-4231 | |
| (865) 806-7244 | |
| (972) 829-4908 |
| Full Name | Fountain Park Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1001 Long Prairie Rd Ste 100, Flower Mound, Texas |
| Authorized Official Name and Position | Ronak Patel (OWNER DENTIST) |
| Authorized Official Contact | 9728997990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Park Dental 1001 Long Prairie Rd Ste 100 Flower Mound TX 75022-4231 Ph: (865) 806-7244 | Fountain Park Dental 1001 Long Prairie Rd Ste 100 Flower Mound TX 75022-4231 Ph: (865) 806-7244 |
| NPI Number | 1164104410 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164104410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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