| Pediatric Dental Specialists, Pa | |
|
2921 N Heritage Parkway Ste 100 Sherman TX 75092 | |
| (903) 892-1200 | |
| (903) 813-1581 |
| Full Name | Pediatric Dental Specialists, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2921 N Heritage Parkway, Sherman, Texas |
| Authorized Official Name and Position | Brian T Harris (OWNER) |
| Authorized Official Contact | 9038921200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Specialists, Pa 2921 N Heritage Parkway Ste 100 Sherman TX 75092 Ph: (903) 892-1200 | Pediatric Dental Specialists, Pa 2921 N Heritage Parkway Ste 100 Sherman TX 75092 Ph: (903) 892-1200 |
| NPI Number | 1154326486 |
|---|---|
| Provider Enumeration Date | 06/14/2005 |
| Last Update Date | 02/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154326486 | NPI | - | NPPES |
| 0093EX | Other | TX | BLUE CROSS BLUE SHIELD |
| 817302 | Other | TX | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 18321 (Texas) | Primary |
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