| The Smiley Tooth Pediatric Dental Specialists | |
|
3018 Ridge Rd Ste 120 Rockwall TX 75032-5819 | |
| (972) 772-7553 | |
| Not Available |
| Full Name | The Smiley Tooth Pediatric Dental Specialists |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3018 Ridge Rd Ste 120, Rockwall, Texas |
| Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF CRED AND PR) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Smiley Tooth Pediatric Dental Specialists 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | The Smiley Tooth Pediatric Dental Specialists 3018 Ridge Rd Ste 120 Rockwall TX 75032-5819 Ph: (972) 772-7553 |
| NPI Number | 1770323503 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/29/2024 |
| Certification Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770323503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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