| Trophy Dental Pa | |
|
301 Trophy Lake Dr Ste 120 Trophy Club TX 76262 | |
| (817) 854-0360 | |
| (817) 490-9029 |
| Full Name | Trophy Dental Pa |
|---|---|
| Speciality | Dentist |
| Location | 301 Trophy Lake Dr, Trophy Club, Texas |
| Authorized Official Name and Position | N Debbie Nguyen Sudbrook (PART OWNER) |
| Authorized Official Contact | 8178540360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trophy Dental Pa 301 Trophy Lake Dr Ste 120 Trophy Club TX 76262 Ph: (817) 854-0360 | Trophy Dental Pa 301 Trophy Lake Dr Ste 120 Trophy Club TX 76262 Ph: (817) 854-0360 |
| NPI Number | 1790880904 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790880904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18141 (Texas) | Primary |
Trophy Smile Studio Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Trophy Lake Dr, # 120, Trophy Club, TX 76262 Phone: 817-778-0337 Fax: 817-720-0038 | |
Dr Alexander Wenner Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2240 E Highway 114 Ste 650, Trophy Club, TX 76262 Phone: 817-532-5153 Fax: 817-984-8404 | |
Dan Crawford Gen. Partner Co Kris Word Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 E Highway 114, Suite 170, Trophy Club, TX 76262 Phone: 817-359-3800 | |
David Crumpton Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Trophy Branch Dr Ste 100, Trophy Club, TX 76262 Phone: 817-691-8379 | |
Members Only Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Trophy Club Dr, Trophy Club, TX 76262 Phone: 817-345-6960 |