| Dfw Smiles, | |
|
2700 William D Tate Ave Ste 100 Grapevine TX 76051-4346 | |
| (817) 281-3444 | |
| Not Available |
| Full Name | Dfw Smiles, |
|---|---|
| Speciality | Dentist |
| Location | 2700 William D Tate Ave Ste 100, Grapevine, Texas |
| Authorized Official Name and Position | Matt Hale (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 2147020729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dfw Smiles, 15660 Dallas Pkwy Ste 925 Dallas TX 75248-3323 Ph: (214) 702-0729 | Dfw Smiles, 2700 William D Tate Ave Ste 100 Grapevine TX 76051-4346 Ph: (817) 281-3444 |
| NPI Number | 1821600248 |
|---|---|
| Provider Enumeration Date | 08/18/2020 |
| Last Update Date | 08/18/2020 |
| Certification Date | 08/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821600248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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