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SHILOH FAMILY DENTISTRY PLLC NPI 1992099774


NPI Information

NPI: 1992099774
Provider Name: SHILOH FAMILY DENTISTRY, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
17480 DALLAS PKWY
SUITE 213
DALLAS, TX
ZIP 75287
Phone: (972) 248-1221
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SHILOH FAMILY DENTISTRY, PLLC is a general practice dentist in Dallas, TX. The provider is 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. SHILOH FAMILY DENTISTRY, PLLC NPI is 1992099774. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17480 DALLAS PKWY
SUITE 213
DALLAS, TX
ZIP 75287-337
Phone: (972) 248-1221
Fax: (972) 248-1072

The provider's authorized official is William Robert Jennings .
The authorized official title is Owner and has the following contact phone number (903) 581-5500.

The enumeration date for this NPI number is 6/8/2011 and was last updated on 6/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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