Provider Demographics
NPI:1902267636
Name:PREECE DENTISTRY PLLC
Entity Type:Organization
Organization Name:PREECE DENTISTRY PLLC
Other - Org Name:PREECE DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANYA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:PREECE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-882-8008
Mailing Address - Street 1:2820 N BELT LINE RD
Mailing Address - Street 2:STE 200
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-9388
Mailing Address - Country:US
Mailing Address - Phone:972-882-8008
Mailing Address - Fax:972-882-8004
Practice Address - Street 1:2820 N BELT LINE RD
Practice Address - Street 2:STE 200
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-9388
Practice Address - Country:US
Practice Address - Phone:972-882-8008
Practice Address - Fax:972-882-8004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-08
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX308441223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1275977233OtherNPI TYPE 1