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NPI Code Detail

MEDICARE: PLANO MODERN DENTISTRY, PC

MEDICARE: PLANO MODERN DENTISTRY, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1114222098
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLANO MODERN DENTISTRY, PC
Provider Business Mailing Address
First Line : PO BOX 920050
Second Line :
City : DALLAS
State : TX
Zip : 75392-0050
Country : US
Telephone Number : 714-845-8890
Fax Number : 949-474-1495
Provider Business Practice Location Address
First Line : 7120 COIT RD STE 110
Second Line :
City : PLANO
State : TX
Zip : 75025-2097
Country : US
Telephone Number : 972-208-0333
Fax Number :
Authorized Official
Title or Position : OWNER DOCTOR
Name : DR. BRENDA B. APPIAH
Credential : DDS
Telephone Number : 972-208-0333
Provider Enumeration Date : 01/24/2011
Last Update Date : 04/13/2022

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Directions to “PLANO MODERN DENTISTRY, PC ” Practice Location

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