| |
105 Kathryn Dr Suite A Lewisville TX 75067-4216 | |
(972) 221-9136 | |
(972) 353-3722 |
Full Name | |
---|---|
Speciality | Clinic/center - Dental |
Location | 105 Kathryn Dr, Lewisville, Texas |
Authorized Official Name and Position | Rex Alan Payne (OWNER) |
Authorized Official Contact | 9722219136 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
105 Kathryn Dr Suite A Lewisville TX 75067-4216 Ph: (972) 221-9136 | 105 Kathryn Dr Suite A Lewisville TX 75067-4216 Ph: (972) 221-9136 |
NPI Number | 1811151152 |
---|---|
Provider Enumeration Date | 07/16/2008 |
Last Update Date | 07/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811151152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 13793 (Texas) | Primary |
Valley Square Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 724 W Main St Ste 316, Lewisville, TX 75067 Phone: 945-250-0530 Fax: 945-250-0535 | |
Saysmile Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2210 Landoine Ln, Lewisville, TX 75056 Phone: 213-327-7744 | |
Lewisville Orthodontic Arts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2520 King Arthur Blvd, Suite 105, Lewisville, TX 75056 Phone: 972-899-1465 | |