Shepherd Lane Dental Associates,P.C in Mesquite - General Practice

Shepherd Lane Dental Associates,P.C - NPI 1073642013

Shepherd Lane Dental Associates,P.C is a General Practice in Mesquite, Texas. Shepherd Lane Dental Associates,P.C practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shepherd Lane Dental Associates,P.C is 1073642013. The last update date is 2015-07-18.

Shepherd Lane Dental Associates,P.C's current location address is 3434 Towne Crossing Blvd., Mesquite, Texas. You can contact this provider via phone number 9722865711 and fax number 9722866106. The mailing address for Shepherd Lane Dental Associates,P.C is 3434 Towne Crossing Blvd., Mesquite, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shepherd Lane Dental Associates,P.C
Address 3434 Towne Crossing Blvd., Mesquite, Texas
Phone Number 9722865711
Fax Number 9722866106
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Blanek J. Harry
Credentials D.D.S.
Telephone Number 9722790900

NPI Number Detail

NPI Number 1073642013
Provider Enumeration Date 2007-03-05
Last Updated Date 2015-07-18

Provider Mailing Address Detail

Address 3434 Towne Crossing Blvd.
City Mesquite
State Texas (TX)
Post Code 751502724
Phone Number 9722865711
Fax Number 9722866106

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7005
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
91321202 TX --

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FAQs about Shepherd Lane Dental Associates,P.C

What is the Shepherd Lane Dental Associates,P.C's 1073642013?

The Shepherd Lane Dental Associates,P.C's NPI (National Provider Identifier) Number is 1073642013. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Shepherd Lane Dental Associates,P.C is physically located?

The Shepherd Lane Dental Associates,P.C is situated at the following address: 3434 Towne Crossing Blvd., Mesquite, TX 751502724.

What is the area of specialization for Shepherd Lane Dental Associates,P.C, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Shepherd Lane Dental Associates,P.C is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1073642013 to Shepherd Lane Dental Associates,P.C?

The Centers for Medicare & Medicaid Services originally issued the 1073642013 to Shepherd Lane Dental Associates,P.C on 2007-03-05.

When was the Shepherd Lane Dental Associates,P.C's information last updated?

The Shepherd Lane Dental Associates,P.C's information was last updated on 2015-07-18.

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