| Teeth R Us Children's Dentistry Pllc | |
|
4865 Hedgcoxe Rd Ste 100 Plano TX 75024-2406 | |
| (972) 820-2022 | |
| (972) 820-2024 |
| Full Name | Teeth R Us Children's Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4865 Hedgcoxe Rd, Plano, Texas |
| Authorized Official Name and Position | Nathifa Pasua Smith (OWNER) |
| Authorized Official Contact | 9728202022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teeth R Us Children's Dentistry Pllc 4865 Hedgcoxe Rd Ste 100 Plano TX 75024-2406 Ph: (972) 820-2022 | Teeth R Us Children's Dentistry Pllc 4865 Hedgcoxe Rd Ste 100 Plano TX 75024-2406 Ph: (972) 820-2022 |
| NPI Number | 1174971519 |
|---|---|
| Provider Enumeration Date | 05/26/2016 |
| Last Update Date | 05/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174971519 | NPI | - | NPPES |
| 3463424-11 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 30806 (Texas) | Primary |
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