Highland Dental Group, Pllc
NPI #1760291017 in Highland Village, Texas
Provider Information
- NPI Number
- 1760291017
- Entity Type
- Organization
- Organization Name
- Highland Dental Group, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 2, 2025
- Last Updated
- Jan 2, 2025
Practice Location
- Address
- 2600 VILLAGE PKWY STE 120
- City
- Highland Village
- State
- Texas
- ZIP Code
- 75077-3285
- Phone
- (469) 444-6500
Authorized Official
- Name
- JACKSON FULLER, DDS
- Title
- DENTIST
- Phone
- (469) 444-6500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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