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Restore Dental Pllc
Dental Clinic/Center in Corsicana, Texas
NPI 1104215367

Restore Dental Pllc is a Dental Clinic/Center based in Corsicana, TX and is specialized in Dental. Restore Dental Pllc practices in Corsicana, TX. The NPI Number for Restore Dental Pllc is 1104215367 and holds a License No. 22213 (Texas).

The current practice location address for Restore Dental Pllc is 3108 W State Highway 22, Corsicana, TX and can be reached out via phone at 903-257-8815 and via fax at 903-900-4184.

Location: 3108 W State Highway 22, Corsicana, TX, 75110-2435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104215367
Provider Name
Restore Dental Pllc
Credential
Provider Entity Type
Organization
Address
3108 W State Highway 22, Corsicana, TX, 75110-2435
Phone Number
903-257-8815
Fax Number
903-900-4184
Provider Enumeration Date
01/12/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1306909080 01 TX NPI
institution
Provider Business Practice Location Address Details
Address
3108 W State Highway 22
City
Corsicana
State
Texas
Zip
75110-2435
Phone Number
903-257-8815
Fax Number
903-900-4184
person
Provider Business Mailing Address Details
Address
3108 W State Highway 22
City
Corsicana
State
Texas
Zip
75110-2435
Phone Number
903-257-8815
Fax Number
903-900-4184
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
22213 (Texas)
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 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
22213 (Texas)
Definition
Definition to come...
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