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Glen Rose Family Dental
Preferred Provider Organization in Glen Rose, Texas
NPI 1003351271

Glen Rose Family Dental is a Preferred Provider Organization based in Glen Rose, TX. Glen Rose Family Dental practices in Glen Rose, TX. The NPI Number for Glen Rose Family Dental is 1003351271 and holds a License No. 29154 (Texas).

The current practice location address for Glen Rose Family Dental is 1104 Bluebonnet St, Glen Rose, TX and can be reached out via phone at 254-898-4646 and via fax at 254-897-7321.

Location: 1104 Bluebonnet St, Glen Rose, TX, 76043-5013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003351271
Provider Name
Glen Rose Family Dental
Credential
Provider Entity Type
Organization
Address
1104 Bluebonnet St, Glen Rose, TX, 76043-5013
Phone Number
254-898-4646
Fax Number
254-897-7321
Provider Enumeration Date
12/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1104 Bluebonnet St
City
Glen Rose
State
Texas
Zip
76043-5013
Phone Number
254-898-4646
Fax Number
254-897-7321
person
Provider Business Mailing Address Details
Address
1104 Bluebonnet St
City
Glen Rose
State
Texas
Zip
76043-5013
Phone Number
254-898-4646
Fax Number
254-897-7321
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
29154 (Texas)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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