| Storybook Smiles | |
|
419 W Sw Loop 323 Ste 300 Tyler TX 75701-7062 | |
| (903) 251-9292 | |
| (903) 207-8642 |
| Full Name | Storybook Smiles |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 419 W Sw Loop 323 Ste 300, Tyler, Texas |
| Authorized Official Name and Position | Dylan Patrick (MANAGING MEMBER) |
| Authorized Official Contact | 9033633648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Storybook Smiles 2660 Barton Creek Cir Tyler TX 75703-7054 Ph: (903) 363-3648 | Storybook Smiles 419 W Sw Loop 323 Ste 300 Tyler TX 75701-7062 Ph: (903) 251-9292 |
| NPI Number | 1871090860 |
|---|---|
| Provider Enumeration Date | 04/07/2018 |
| Last Update Date | 06/11/2024 |
| Certification Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871090860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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