person
Dr. Jennifer Diane Colter, DDS
Pediatric Dentist in Dallas, Texas
NPI 1881742393

Jennifer Diane Colter is a Pediatric Dentist based in Dallas, TX and is specialized in Pediatric Dentistry. Jennifer Diane Colter practices in Dallas, TX and has the professional credentials of DDS. The NPI Number for Jennifer Diane Colter is 1881742393 and holds a License No. 20111 (Texas).

The current practice location address for Jennifer Diane Colter is 5211 Forest Ln Ste 127, Dallas, TX and can be reached out via phone at 972-233-4439.

Location: 5211 Forest Ln Ste 127, Dallas, TX, 75244-8038
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Provider Profile Details
NPI Number
1881742393
Provider Name
Jennifer Diane Colter
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
5211 Forest Ln Ste 127, Dallas, TX, 75244-8038
Phone Number
972-233-4439
Fax Number
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G60008-1 01 TX CHIP PROVIDER NUMBER
1747685 05 TX
0033BT 01 TX BLUE CROSS BLUE SHIELD #
institution
Provider Business Practice Location Address Details
Address
5211 Forest Ln Ste 127
City
State
Zip
75244-8038
Phone Number
972-233-4439
Fax Number
person
Provider Business Mailing Address Details
Address
5211 Forest Ln Ste 127
City
State
Zip
75244-8038
Phone Number
972-233-4439
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
20111 (Texas)
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.
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