Craniofacial Pain & Sleep Dentistry, PA

NPI #1952680837 in Plano, Texas

Provider Information

NPI Number: 1952680837
Entity Type: Organization
Organization Name: Craniofacial Pain & Sleep Dentistry, PA
Primary Specialty: Dentist
Enumeration Date: Aug 10, 2011
Last Updated: Aug 10, 2011

Practice Location

Address: 3516 PRESTON RD
Address 2: SUITE 600
City: Plano
State: Texas
ZIP Code: 75093-8612
Phone: (972) 985-4865

Authorized Official

Name: DR. BRYAN O BLEVINS, DDS
Title: PRESIDENT
Phone: (936) 634-1333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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