Glen Rose Family Dental
Glen Rose Family Dental is a Preferred Provider Organization in Glen Rose, Texas. Licensed in Texas. Registered with an NPI since 2016.
- Licensed in
- TX
- In the registry since
- 2016
Practice location Address checks out
1104 Bluebonnet StGlen Rose, TX 76043-5013
Phone: (254) 898-4646
Fax: (254) 897-7321
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 29154 (TX) |
|---|
Record details
| NPI number | 1003351271 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Clayton Cook — General Dentist · (254) 898-4646 |
| NPI enumerated | December 27, 2016 |
| Last updated in NPPES | December 27, 2016 |
| Mailing address | 1104 Bluebonnet St, Glen Rose, TX 76043-5013 |