Organization Name: | VILLAGE DENTAL HEALTH |
NPI Number: | 1861897001 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM H GERLACH (OWNER) |
Mailing Address: | 2450 E Prosper Trl 30 Prosper |
State: | TX US |
Postal Code: | 750789147 |
Phone Number: | 9723472233 |
Fax Number: | 9723472237 |
NPI Enumeration Date: | 10/30/2014 |
NPI Last Update Date: | 10/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0700X |
License Number: | 19648 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Prosthodontics |
Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |