| Village Dental Health | |
|
2450 E Prosper Trl 30 Prosper TX 75078-9147 | |
| (972) 347-2233 | |
| (972) 347-2237 |
| Full Name | Village Dental Health |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 2450 E Prosper Trl, Prosper, Texas |
| Authorized Official Name and Position | William H Gerlach (OWNER) |
| Authorized Official Contact | 9729641855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Dental Health 5425 W Spring Creek Pkwy 165 Plano TX 75024-4236 Ph: (972) 964-1855 | Village Dental Health 2450 E Prosper Trl 30 Prosper TX 75078-9147 Ph: (972) 347-2233 |
| NPI Number | 1861897001 |
|---|---|
| Provider Enumeration Date | 10/30/2014 |
| Last Update Date | 10/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861897001 | NPI | - | NPPES |
| 1013219732 | Other | TX | DENTAL |
| 1720231574 | Other | TX | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 19648 (Texas) | Primary |
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