| Providence Village Dentistry, Pc | |
|
808 Main St., Suite 300 Providence Village TX 76227 | |
| (940) 758-7106 | |
| (940) 488-4001 |
| Full Name | Providence Village Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 808 Main St., Suite 300, Providence Village, Texas |
| Authorized Official Name and Position | Zachary Allen Parker (OWNER) |
| Authorized Official Contact | 9407587106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Village Dentistry, Pc Po Box 660041 Dallas TX 75266-0041 Ph: (714) 845-8890 | Providence Village Dentistry, Pc 808 Main St., Suite 300 Providence Village TX 76227 Ph: (940) 758-7106 |
| NPI Number | 1700713716 |
|---|---|
| Provider Enumeration Date | 05/05/2026 |
| Last Update Date | 05/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700713716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Landon Long Nguyen Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 26621 U.s. Highway 380 W, Suite 110, Providence Village, TX 76227 Phone: 940-241-9993 Fax: 940-241-4994 |