NPI 1477143444 · live from the CMS NPI Registry
110 Dentistry & Orthodontics PLLC
Dentist, General Practice in Whitehouse, TX. National Provider Identifier 1477143444, active.
NPI record
| NPI | 1477143444 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 308 Hwy 110 N Ste A, Whitehouse, TX 75791 |
| Practice phone | 972-590-8809 |
| Mailing address | Po Box 734753, Dallas, TX 75373 |
| Enumerated | January 22, 2021 |
| Last updated | January 11, 2022 |
| Authorized official | Faith Gaskins, Director Of Credentialing |
| Other names | 110 Dental & Orthodontics |
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.