is a Dental Clinic in Coppell, Texas. It is located at 301 S Denton Tap Rd, Ste 110, Coppell, TX and its contact number is 972-304-0891. The authorized person for is Elise Elaine Pruett
who is Owner of the clinic and their contact number is 972-304-0891. The primary license number for is 28899 (General Practice) in Texas. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
301 S Denton Tap Rd, Ste 110, Coppell, Texas, 75019
Phone:
972-304-0891
Fax:
972-304-0893
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Elise Elaine Pruett
Position:
Owner
Contact Number:
972-304-0891
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1568918373
NPI Enumeration Date:
31 Aug, 2016
NPI Last Update On:
31 Aug, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
28899
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1558791004
Other
Texas
Npi Type 1
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
301 S Denton Tap Rd, Ste 110 Coppell, Texas
Zip:
75019
Phone Number:
972-304-0891
Fax Number:
972-304-0893
Patients can reach at 301 S Denton Tap Rd, Ste 110, Coppell, Texas or can call to book an appointment on 972-304-0891. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.