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NPI Code Detail

MEDICARE: FLOSS DENTISTRY-UPTOWN

MEDICARE: FLOSS DENTISTRY-UPTOWN
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
1122300000XDentist22712TX

General Provider Information

NPI Number : 1760632251
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLOSS DENTISTRY-UPTOWN
Provider Business Mailing Address
First Line : 3131 LEMMON AVE E
Second Line :
City : DALLAS
State : TX
Zip : 75204-1411
Country : US
Telephone Number : 214-978-0101
Fax Number : 214-978-0121
Provider Business Practice Location Address
First Line : 3131 LEMMON AVE E
Second Line :
City : DALLAS
State : TX
Zip : 75204-1411
Country : US
Telephone Number : 214-978-0101
Fax Number : 214-978-0121
Authorized Official
Title or Position : INSURANCE CO-ORDINATOR
Name : MS. ANGELA ANN SPITTLER
Credential :
Telephone Number : 214-978-0101
Provider Enumeration Date : 09/22/2008
Last Update Date : 09/22/2008

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Directions to “FLOSS DENTISTRY-UPTOWN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.