| Lakewood Dental Studio Pllc | |
|
6220 Gaston Ave Ste 600 Dallas TX 75214-4345 | |
| (214) 446-5084 | |
| Not Available |
| Full Name | Lakewood Dental Studio Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6220 Gaston Ave Ste 600, Dallas, Texas |
| Authorized Official Name and Position | William Robby Jennings (OWNER) |
| Authorized Official Contact | 9402068956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Dental Studio Pllc 2109 Commerce St Ste 200 Dallas TX 75201-4350 Ph: (972) 248-1221 | Lakewood Dental Studio Pllc 6220 Gaston Ave Ste 600 Dallas TX 75214-4345 Ph: (214) 446-5084 |
| NPI Number | 1073407458 |
|---|---|
| Provider Enumeration Date | 06/09/2025 |
| Last Update Date | 06/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073407458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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