Heartland Dental Care of Texas

NPI #1063847234 in Mansfield, Texas

Provider Information

NPI Number: 1063847234
Entity Type: Organization
Organization Name: Heartland Dental Care of Texas
Subpart: Yes (part of a larger organization)
Parent Organization: HEARTLAND DENTAL CARE OF TEXAS
Primary Specialty: Dentist
Enumeration Date: Sep 6, 2013
Last Updated: Sep 6, 2013

Practice Location

Address: 1521 E DEBBIE LN
City: Mansfield
State: Texas
ZIP Code: 76063-3341
Phone: (682) 422-7326

Authorized Official

Name: MARIE KUHL
Title: CREDENTIALING MANAGER
Phone: (217) 540-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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