| Big Smiles Ranch | |
|
8131 Dorado Dr Odessa TX 79765-8533 | |
| (432) 770-1786 | |
| (800) 532-0728 |
| Full Name | Big Smiles Ranch |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8131 Dorado Dr, Odessa, Texas |
| Authorized Official Name and Position | Joel Trimble Edwards (OWNER) |
| Authorized Official Contact | 1432770178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Smiles Ranch 8131 Dorado Dr Odessa TX 79765-8533 Ph: (432) 770-1786 | Big Smiles Ranch 8131 Dorado Dr Odessa TX 79765-8533 Ph: (432) 770-1786 |
| NPI Number | 1699455196 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 07/19/2023 |
| Certification Date | 07/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699455196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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