| Whiteface Dental PLLC | |
|
1300 W Park Ave Hereford TX 79045-3821 | |
| (806) 364-1340 | |
| Not Available |
| Full Name | Whiteface Dental PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1300 W Park Ave, Hereford, Texas |
| Authorized Official Name and Position | Jacob Woods (OWNER) |
| Authorized Official Contact | 8303777050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whiteface Dental PLLC 1300 W Park Ave Hereford TX 79045-3821 Ph: (806) 364-1340 | Whiteface Dental PLLC 1300 W Park Ave Hereford TX 79045-3821 Ph: (806) 364-1340 |
| NPI Number | 1689568123 |
|---|---|
| Provider Enumeration Date | 06/09/2025 |
| Last Update Date | 06/09/2025 |
| Certification Date | 06/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689568123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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