| Smiling Faces Mwc Pllc | |
|
1152 S Douglas Blvd Midwest City OK 73130-5237 | |
| (405) 947-1525 | |
| Not Available |
| Full Name | Smiling Faces Mwc Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1152 S Douglas Blvd, Midwest City, Oklahoma |
| Authorized Official Name and Position | Gaylon Zissa (DIRECTOR OF PROVIDER RELATIONS) |
| Authorized Official Contact | 4059458941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiling Faces Mwc Pllc 1152 S Douglas Blvd Midwest City OK 73130-5237 Ph: () - | Smiling Faces Mwc Pllc 1152 S Douglas Blvd Midwest City OK 73130-5237 Ph: (405) 947-1525 |
| NPI Number | 1689521676 |
|---|---|
| Provider Enumeration Date | 03/11/2026 |
| Last Update Date | 03/11/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689521676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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