Lewisville Smiles, P.l.l.c | |
501 S Interstate 35 E Lewisville TX 75067-4562 | |
(469) 635-4867 | |
(469) 635-4871 |
Full Name | Lewisville Smiles, P.l.l.c |
---|---|
Speciality | Dentist - General Practice |
Location | 501 S Interstate 35 E, Lewisville, Texas |
Authorized Official Name and Position | Adrian Codel (OWNER) |
Authorized Official Contact | 2143425757 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lewisville Smiles, P.l.l.c 4901 Lbj Freeway Suite 400 Dallas TX 75244-6158 Ph: (214) 342-5757 | Lewisville Smiles, P.l.l.c 501 S Interstate 35 E Lewisville TX 75067-4562 Ph: (469) 635-4867 |
NPI Number | 1013192236 |
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Provider Enumeration Date | 01/07/2008 |
Last Update Date | 02/16/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013192236 | NPI | - | NPPES |
1903163-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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