Provider Demographics
NPI:1013341825
Name:COLLIER, MARY ZOE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:ZOE
Last Name:COLLIER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 ELDORADO PKWY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-4362
Mailing Address - Country:US
Mailing Address - Phone:972-542-3005
Mailing Address - Fax:972-542-6776
Practice Address - Street 1:2301 ELDORADO PKWY
Practice Address - Street 2:SUITE 500
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-4362
Practice Address - Country:US
Practice Address - Phone:972-542-3005
Practice Address - Fax:972-542-6776
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-28
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX289151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice