| Southwest Dental Associates | |
|
1600 Republic Pkwy 210 Mesquite TX 75150-6918 | |
| (972) 686-1000 | |
| Not Available |
| Full Name | Southwest Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 1600 Republic Pkwy, Mesquite, Texas |
| Authorized Official Name and Position | Fred E Thompson (PARTNER) |
| Authorized Official Contact | 9726861000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Dental Associates 1600 Republic Pkwy 210 Mesquite TX 75150-6918 Ph: (972) 686-1000 | Southwest Dental Associates 1600 Republic Pkwy 210 Mesquite TX 75150-6918 Ph: (972) 686-1000 |
| NPI Number | 1831316512 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831316512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12339 (Texas) | Secondary |
| 122300000X | Dentist | 16344 (Texas) | Primary |
| 122300000X | Dentist | 9159 (Texas) | Secondary |
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