Glade Crossing Dental, PA

NPI #1902485535 in Grapevine, Texas

Provider Information

NPI Number: 1902485535
Entity Type: Organization
Organization Name: Glade Crossing Dental, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 2, 2021
Last Updated: Mar 11, 2022

Practice Location

Address: 1000 W. GLADE ROAD
Address 2: SUITE 300
City: Grapevine
State: Texas
ZIP Code: 76051-7535
Phone: (214) 420-7000

Authorized Official

Name: ROBERT E TAFEL, DDS
Title: OWNER
Phone: (214) 420-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - General Practice — General Practice	1223G0001X	Primary

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