Provider Demographics
NPI:1790408763
Name:PREECE FAMILY DENTAL PLLC
Entity Type:Organization
Organization Name:PREECE FAMILY DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:CORAY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PREECE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS/OWNER
Authorized Official - Phone:972-882-8008
Mailing Address - Street 1:3300 INTERSTATE 30
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150
Mailing Address - Country:US
Mailing Address - Phone:972-882-8008
Mailing Address - Fax:972-882-8004
Practice Address - Street 1:3300 INTERSTATE 30
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150
Practice Address - Country:US
Practice Address - Phone:972-882-8008
Practice Address - Fax:972-882-8004
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREECE FAMILY DENTAL PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty