Heartland Dental Care of Texas

NPI #1497091706 in Rowlett, Texas

Provider Information

NPI Number: 1497091706
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: Dec 14, 2012
Last Updated: Dec 14, 2012

Practice Location

Address: 7501 LAKEVIEW PKWY
Address 2: SUITE 250
City: Rowlett
State: Texas
ZIP Code: 75088-9322
Phone: (217) 540-5100

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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