| Full Smile Dental, Pllc | |
|
816 Avenue A Farwell TX 79325 | |
| (806) 353-1055 | |
| (806) 353-7077 |
| Full Name | Full Smile Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Oral And Maxillofacial Surgery |
| Location | 816 Avenue A, Farwell, Texas |
| Authorized Official Name and Position | Jennifer Williams (CREDENTIALING) |
| Authorized Official Contact | 8064189924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Smile Dental, Pllc 5051 S Soncy Rd Amarillo TX 79119-6667 Ph: (806) 353-1055 | Full Smile Dental, Pllc 816 Avenue A Farwell TX 79325 Ph: (806) 353-1055 |
| NPI Number | 1558964536 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 11/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558964536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Farwell Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 3rd St, Farwell, TX 79325 Phone: 806-481-3336 Fax: 806-481-3339 |