Healthcare Provider Details
I. General information
NPI: 1578682183
Provider Name (Legal Business Name): NORTH TEXAS DENTAL SPECIALISTS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/28/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
503 N MAPLE ST
MUENSTER TX
76252
US
IV. Provider business mailing address
PO BOX 729
MUENSTER TX
76252-0729
US
V. Phone/Fax
- Phone: 940-759-2303
- Fax: 940-759-2399
- Phone: 940-759-2303
- Fax: 940-759-2399
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223E0200X |
| Taxonomy | Endodontics |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223P0700X |
| Taxonomy | Prosthodontics |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0106X |
| Taxonomy | Oral and Maxillofacial Pathology Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELAINE
R
SCHILLING
Title or Position: PRESIDENT
Credential: D.D.S., M.S.
Phone: 940-759-2303