| Smileteampd PLLC | |
|
3550 Hulen St Ste 110 Ft Worth TX 76107-6808 | |
| (682) 207-6401 | |
| Not Available |
| Full Name | Smileteampd PLLC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3550 Hulen St Ste 110, Ft Worth, Texas |
| Authorized Official Name and Position | Justin Warcup (OWNER) |
| Authorized Official Contact | 8177094225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smileteampd PLLC 3550 Hulen St Ste 110 Ft Worth TX 76107-6808 | Smileteampd PLLC 3550 Hulen St Ste 110 Ft Worth TX 76107-6808 Ph: (682) 207-6401 |
| NPI Number | 1386494847 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386494847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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