| Magnolia Park Dental/flower Mound Dental | |
|
651 N Denton Tap Rd Ste 170 Coppell TX 75019-7937 | |
| (972) 899-4900 | |
| (972) 899-4928 |
| Full Name | Magnolia Park Dental/flower Mound Dental |
|---|---|
| Speciality | Dentist |
| Location | 651 N Denton Tap Rd Ste 170, Coppell, Texas |
| Authorized Official Name and Position | William Robert Jennings (DOCTOR/OWNER) |
| Authorized Official Contact | 9402068956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Park Dental/flower Mound Dental 2002 S Stemmons Fwy Ste 500 Lake Dallas TX 75065-3633 Ph: (940) 321-2205 | Magnolia Park Dental/flower Mound Dental 651 N Denton Tap Rd Ste 170 Coppell TX 75019-7937 Ph: (972) 899-4900 |
| NPI Number | 1992982649 |
|---|---|
| Provider Enumeration Date | 01/24/2008 |
| Last Update Date | 01/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992982649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18962 (Texas) | Primary |
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James S. Peterson, DDS, PA Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 598 S Denton Tap Rd Ste 103, Coppell, TX 75019 Phone: 972-462-1600 |