| Rock Dental Texas Pllc | |
|
1921 N Preston Rd Ste 80 Prosper TX 75078-2788 | |
| (972) 934-6222 | |
| Not Available |
| Full Name | Rock Dental Texas Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1921 N Preston Rd Ste 80, Prosper, Texas |
| Authorized Official Name and Position | Shay Philmo Philmon (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5014622062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rock Dental Texas Pllc Po Box 3450 Little Rock AR 72203-3450 Ph: (501) 781-2777 | Rock Dental Texas Pllc 1921 N Preston Rd Ste 80 Prosper TX 75078-2788 Ph: (972) 934-6222 |
| NPI Number | 1164381638 |
|---|---|
| Provider Enumeration Date | 01/20/2026 |
| Last Update Date | 02/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164381638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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