Provider Demographics
NPI:1932404571
Name:HEARTLAND DENTAL CARE OF TX, PC
Entity Type:Organization
Organization Name:HEARTLAND DENTAL CARE OF TX, PC
Other - Org Name:MASTER'S HAND DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE TEAM LEAD
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-540-5100
Mailing Address - Street 1:935 W EXCHANGE PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-7077
Mailing Address - Country:US
Mailing Address - Phone:972-359-2822
Mailing Address - Fax:
Practice Address - Street 1:935 W EXCHANGE PKWY STE 300
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-7077
Practice Address - Country:US
Practice Address - Phone:972-359-2822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEARTLAND DENTAL CARE OF TX, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty