| Super Smiles for Kids | |
|
1900 S Coulter St Ste G Amarillo TX 79106-1732 | |
| (806) 581-4180 | |
| (806) 255-8122 |
| Full Name | Super Smiles for Kids |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1900 S Coulter St Ste G, Amarillo, Texas |
| Authorized Official Name and Position | Stephen Montoya (OWNER) |
| Authorized Official Contact | 8065814180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Super Smiles for Kids 1900 S Coulter St Ste G Amarillo TX 79106-1732 Ph: (806) 581-4180 | Super Smiles for Kids 1900 S Coulter St Ste G Amarillo TX 79106-1732 Ph: (806) 581-4180 |
| NPI Number | 1972378792 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972378792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
| 124Q00000X | Dental Hygienist | () | Secondary |
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