DR. Jeffrey Scott Lide, D.D.S.
NPI #1508914011 in Richardson, Texas
Provider Information
- NPI Number
- 1508914011
- Entity Type
- Individual
- Name
- DR. Jeffrey Scott Lide, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 330 MUNICIPAL DR
- Address 2
- STE 100
- City
- Richardson
- State
- Texas
- ZIP Code
- 75080-3541
- Phone
- (972) 479-0477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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