| Memorial Dental & Orthodontics Pllc | |
|
1385 Memorial Pkwy Ste 5 Fate TX 75189 | |
| (972) 382-7010 | |
| Not Available |
| Full Name | Memorial Dental & Orthodontics Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1385 Memorial Pkwy, Fate, Texas |
| Authorized Official Name and Position | Paola Ramos (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Dental & Orthodontics Pllc 1385 Memorial Pkwy Ste 5 Fate TX 75189 Ph: () - | Memorial Dental & Orthodontics Pllc 1385 Memorial Pkwy Ste 5 Fate TX 75189 Ph: (972) 382-7010 |
| NPI Number | 1609663830 |
|---|---|
| Provider Enumeration Date | 04/22/2025 |
| Last Update Date | 04/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609663830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dental Health Associates Of Texas, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5040 E Interstate 30 Ste 100, Fate, TX 75189 Phone: 469-745-0221 Fax: 469-653-2644 |