Provider Demographics
NPI:1730240409
Name:ROYSE CITY DENTAL
Entity type:Organization
Organization Name:ROYSE CITY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:PINCUS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-416-2330
Mailing Address - Street 1:PO BOX 1177
Mailing Address - Street 2:
Mailing Address - City:ROYSE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75189
Mailing Address - Country:US
Mailing Address - Phone:972-636-2417
Mailing Address - Fax:972-636-2418
Practice Address - Street 1:522 E HWY 66
Practice Address - Street 2:
Practice Address - City:ROYSE CITY
Practice Address - State:TX
Practice Address - Zip Code:75189
Practice Address - Country:US
Practice Address - Phone:972-636-2417
Practice Address - Fax:972-636-2418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty