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W. Main Street Dental Lewisville, Tx, P.c.
Oral and Maxillofacial Surgery (Dentist) in Lewisville, Texas
NPI 1023508819

W. Main Street Dental Lewisville, Tx, P.c. is a Oral and Maxillofacial Surgery (Dentist) based in Marietta, TX and is specialized in Oral and Maxillofacial Surgery. W. Main Street Dental Lewisville, Tx, P.c. practices in Lewisville, TX. The NPI Number for W. Main Street Dental Lewisville, Tx, P.c. is 1023508819 and holds a License No. (Texas).

The current practice location address for W. Main Street Dental Lewisville, Tx, P.c. is 724 W Main St Ste 316, Lewisville, TX and can be reached out via phone at 469-312-6201 and via fax at 469-312-6202.

Location: 724 W Main St Ste 316, Lewisville, TX, 30067-6407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023508819
Provider Name
W. Main Street Dental Lewisville, Tx, P.c.
Credential
Provider Entity Type
Organization
Address
724 W Main St Ste 316, Lewisville, TX, 30067-6407
Phone Number
469-312-6201
Fax Number
469-312-6202
Provider Enumeration Date
05/16/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
724 W Main St Ste 316
City
Lewisville
State
Texas
Zip
75067
Phone Number
469-312-6201
Fax Number
469-312-6202
person
Provider Business Mailing Address Details
Address
724 W Main St Ste 316
City
Lewisville
State
Texas
Zip
75067
Phone Number
469-312-6201
Fax Number
469-312-6202
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
()
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 4
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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