Provider Demographics
NPI:1720097892
Name:J. STEVEN SOLLERS, D.D.S., P.C.
Entity Type:Organization
Organization Name:J. STEVEN SOLLERS, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:J.
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:SOLLERES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-296-9447
Mailing Address - Street 1:1402 S CLARK RD
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137-2811
Mailing Address - Country:US
Mailing Address - Phone:972-296-9447
Mailing Address - Fax:972-296-7909
Practice Address - Street 1:1402 S CLARK RD
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75137-2811
Practice Address - Country:US
Practice Address - Phone:972-296-9447
Practice Address - Fax:972-296-7909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX131381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty