Trophy Dental PA

NPI #1790880904 in Trophy Club, Texas

Provider Information

NPI Number: 1790880904
Entity Type: Organization
Organization Name: Trophy Dental PA
Primary Specialty: Dentist
Enumeration Date: Sep 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 301 TROPHY LAKE DR
Address 2: STE 120
City: Trophy Club
State: Texas
ZIP Code: 76262
Phone: (817) 854-0360

Authorized Official

Name: N DEBBIE NGUYEN SUDBROOK, DDS
Title: PART OWNER
Phone: (817) 854-0360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Provider Name	Specialty	City
DR. David L Crumpton, DDS	Dentist	Trophy Club	AI Deep Dive
DR. Gary Brian Southerland, DDS	Dentist	Temple	AI Deep Dive
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Organizations

Provider Name	Specialty	City
David Crumpton DDS PA	Dentist	Trophy Club	AI Deep Dive
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