institution
Shizuoka Pllc
Dentist Anesthesiologist in Midlothian, Texas
NPI 1871258061

Shizuoka Pllc is a Dentist Anesthesiologist based in Midlothian, TX and is specialized in Dentist Anesthesiologist. Shizuoka Pllc practices in Midlothian, TX. The NPI Number for Shizuoka Pllc is 1871258061 and holds a License No. (Texas).

The current practice location address for Shizuoka Pllc is 1441 Midlothian Pkwy, Midlothian, TX and can be reached out via phone at 972-954-9339 and via fax at 972-945-3040.

Location: 1441 Midlothian Pkwy, Midlothian, TX, 76065
institution
Provider Profile Details
NPI Number
1871258061
Provider Name
Shizuoka Pllc
Credential
Provider Entity Type
Organization
Address
1441 Midlothian Pkwy, Midlothian, TX, 76065
Phone Number
972-954-9339
Fax Number
972-945-3040
Provider Enumeration Date
11/03/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
212955335 05 TX
institution
Provider Business Practice Location Address Details
Address
1441 Midlothian Pkwy
City
State
Zip
76065
Phone Number
972-954-9339
Fax Number
972-945-3040
person
Provider Business Mailing Address Details
Address
1441 Midlothian Pkwy
City
State
Zip
76065
Phone Number
972-954-9339
Fax Number
972-945-3040
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
License No.
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Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
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