| Rockwall Dental Associates PLLC | |
|
3140 Horizon Rd Ste 103 Rockwall TX 75032-7819 | |
| (469) 208-5752 | |
| Not Available |
| Full Name | Rockwall Dental Associates PLLC |
|---|---|
| Speciality | Dentist |
| Location | 3140 Horizon Rd Ste 103, Rockwall, Texas |
| Authorized Official Name and Position | Amanda Lightfoot (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 2147020708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockwall Dental Associates PLLC 15660 Dallas Pkwy Ste 925 Dallas TX 75248-3323 | Rockwall Dental Associates PLLC 3140 Horizon Rd Ste 103 Rockwall TX 75032-7819 Ph: (469) 208-5752 |
| NPI Number | 1780390146 |
|---|---|
| Provider Enumeration Date | 01/27/2023 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780390146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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