Dental Practice Group LLC

NPI #1992982649 in Coppell, Texas

Provider Information

NPI Number: 1992982649
Entity Type: Organization
Organization Name: Dental Practice Group LLC
Primary Specialty: Dentist
Enumeration Date: Jan 24, 2008
Last Updated: Jan 24, 2008

Practice Location

Address: 651 N DENTON TAP RD STE 170
City: Coppell
State: Texas
ZIP Code: 75019-7937
Phone: (972) 899-4900

Authorized Official

Name: DR. WILLIAM ROBERT JENNINGS JR., DDS
Title: DOCTOR/OWNER
Phone: (940) 206-8956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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