NPI 1033679337 · live from the CMS NPI Registry
3rdmolar PLLC
Dentist, General Practice in Plano, TX. National Provider Identifier 1033679337, active.
NPI record
| NPI | 1033679337 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 5072 West Plano Pkwy #100, Plano, TX 75093 |
| Practice phone | 972-267-6244 |
| Mailing address | 9204 Askew St, Fort Worth, TX 76244 |
| Enumerated | March 22, 2019 |
| Last updated | October 24, 2019 |
| Authorized official | Jeffrey Croarkin, Owner/Provider |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.