Cc Dental Pc is a Dental in Southlake, Texas. Cc Dental Pc practices all healthcare services and medical treatments related to Dental. The NPI Number for Cc Dental Pc is 1851569297. The last update date is 2008-02-20.
Cc Dental Pc's current location address is Po Box 93653, Southlake, Texas. You can contact this provider via phone number 8177378731 and fax number 8177639342. The mailing address for Cc Dental Pc is Po Box 93653, Southlake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cc Dental Pc |
|---|---|
| Address | Po Box 93653, Southlake, Texas |
| Phone Number | 8177378731 |
| Fax Number | 8177639342 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Shafer Douglas Ty |
| Credentials | DDS |
| Telephone Number | 8177378731 |
NPI Number Detail
| NPI Number | 1851569297 |
|---|---|
| Provider Enumeration Date | 2008-02-20 |
| Last Updated Date | 2008-02-20 |
Provider Mailing Address Detail
| Address | Po Box 93653 |
|---|---|
| City | Southlake |
| State | Texas (TX) |
| Post Code | 760920115 |
| Phone Number | 8177378731 |
| Fax Number | 8177639342 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
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Post Comment/ Review Below
What is the Cc Dental Pc's unique identification number?
The Cc Dental Pc has been assigned the NPI (National Provider Identifier) Number 1851569297 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Cc Dental Pc is located?
The Cc Dental Pc is situated at the following address: Po Box 93653, Southlake, TX, 760920115.
What is the Cc Dental Pc's area of specialization and corresponding taxonomy classification?
The Cc Dental Pc's specialty field is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their specialties.
When was the Cc Dental Pc's 1851569297 issued?
The Cc Dental Pc's 1851569297 was issued on 2008-02-20.
When was the information pertaining to Cc Dental Pc most recently updated or revised?
The details related to Cc Dental Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-20.
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