| Dr Krystyn Marie Dishaw, DMD, MS | |
|
1007 Ashlawn Dr, Southlake, TX 76092-1716 | |
| (214) 543-1620 | |
| Not Available |
| Full Name | Dr Krystyn Marie Dishaw |
|---|---|
| Gender | Female |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1007 Ashlawn Dr, Southlake, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144341793 | NPI | - | NPPES |
| 1479404-03 | Medicaid | TX | |
| 1479404-09 | Medicaid | TX | |
| 1479404-10 | Medicaid | TX | |
| 1479404-04 | Medicaid | TX | |
| 1479404-05 | Medicaid | TX | |
| 1479404-08 | Medicaid | TX | |
| 1479404-12 | Medicaid | TX | |
| 1803512-01 | Medicaid | TX | |
| 1479404-01 | Medicaid | TX | |
| 1479404-06 | Medicaid | TX | |
| 1479404-07 | Medicaid | TX | |
| 1479404-11 | Medicaid | TX | |
| 1803512-02 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22861 (Texas) | Primary |
| 122300000X | Dentist | 22861 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Krystyn Marie Dishaw, DMD, MS 1007 Ashlawn Dr, Southlake, TX 76092-1716 Ph: (214) 543-1620 | Dr Krystyn Marie Dishaw, DMD, MS 1007 Ashlawn Dr, Southlake, TX 76092-1716 Ph: (214) 543-1620 |
Dr. Richard Glenn Thorpe, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1940 E Hwy 114, Suite #100, Southlake, TX 76092 Phone: 817-488-3000 Fax: 817-488-3017 | |
Khaldoun F Al-ajlouni, DDS PA Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 W Southlake Blvd, Ste 146, Southlake, TX 76092 Phone: 817-251-9333 Fax: 817-251-9320 | |
Joseph A Bonola, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2680 East State Hwy 114, Southlake, TX 76092 Phone: 817-251-2121 Fax: 817-251-6259 | |
Paola Andrea Arcila, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 E Southlake Blvd, Southlake, TX 76092 Phone: 817-481-7999 | |
Dr. Michel Fares Abou-obeid, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 754 N Carroll Ave, Southlake, TX 76092 Phone: 817-488-1150 Fax: 817-488-2917 | |
Dr. Chad R Allen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 190 S White Chapel Blvd, Southlake, TX 76092 Phone: 817-488-3636 Fax: 817-421-2372 |