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Crystal Dental Of Burleson
Preferred Provider Organization in Burleson, Texas
NPI 1508037128

Crystal Dental Of Burleson is a Preferred Provider Organization based in Mansfield, TX. Crystal Dental Of Burleson practices in Burleson, TX. The NPI Number for Crystal Dental Of Burleson is 1508037128 and holds a License No. 21298 (Texas).

The current practice location address for Crystal Dental Of Burleson is 664 Sw Wilshire Blvd, Burleson, TX and can be reached out via phone at 817-426-3331 and via fax at 817-426-3337.

Location: 664 Sw Wilshire Blvd, Burleson, TX, 76063-8849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508037128
Provider Name
Crystal Dental Of Burleson
Credential
Provider Entity Type
Organization
Address
664 Sw Wilshire Blvd, Burleson, TX, 76063-8849
Phone Number
817-426-3331
Fax Number
817-426-3337
Provider Enumeration Date
03/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1730177619 05 TX
institution
Provider Business Practice Location Address Details
Address
664 Sw Wilshire Blvd
City
Burleson
State
Texas
Zip
76028-5851
Phone Number
817-426-3331
Fax Number
817-426-3337
person
Provider Business Mailing Address Details
Address
664 Sw Wilshire Blvd
City
Burleson
State
Texas
Zip
76028-5851
Phone Number
817-426-3331
Fax Number
817-426-3337
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
21298 (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
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
21298 (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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