| Rebel Aggie Dental Pllc | |
|
1500 Scott St Ste 100 Melissa TX 75454-9544 | |
| (469) 989-8017 | |
| Not Available |
| Full Name | Rebel Aggie Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1500 Scott St Ste 100, Melissa, Texas |
| Authorized Official Name and Position | James Brigham Clawson (OWNER) |
| Authorized Official Contact | 7028834744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebel Aggie Dental Pllc 6117 Reiger Ave Dallas TX 75214-4535 Ph: (702) 883-4744 | Rebel Aggie Dental Pllc 1500 Scott St Ste 100 Melissa TX 75454-9544 Ph: (469) 989-8017 |
| NPI Number | 1356232557 |
|---|---|
| Provider Enumeration Date | 07/14/2025 |
| Last Update Date | 07/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356232557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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