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NPI Code Detail

MEDICARE: PREVICARE, PLLC

MEDICARE: PREVICARE, PLLC
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
11223P0221XPediatric Dentistry

General Provider Information

NPI Number : 1174132559
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREVICARE, PLLC
Provider Business Mailing Address
First Line : 2006 W CAMPBELL RD STE 300
Second Line :
City : GARLAND
State : TX
Zip : 75044-2315
Country : US
Telephone Number : 972-210-0688
Fax Number :
Provider Business Practice Location Address
First Line : 2006 W CAMPBELL RD STE 300
Second Line :
City : GARLAND
State : TX
Zip : 75044-2315
Country : US
Telephone Number : 972-210-0688
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. MATTHEW SCHWED
Credential : DDS
Telephone Number : 917-974-7993
Provider Enumeration Date : 07/30/2020
Last Update Date : 07/30/2020

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Directions to “PREVICARE, PLLC ” Practice Location

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