| Full Smile Dental | |
|
2808 4th Ave Canyon TX 79015-4270 | |
| (806) 557-4085 | |
| (806) 353-7077 |
| Full Name | Full Smile Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2808 4th Ave, Canyon, Texas |
| Authorized Official Name and Position | William Edward Graves (OWNER) |
| Authorized Official Contact | 8063531055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Smile Dental 5051 S Soncy Rd Amarillo TX 79119-6667 Ph: (806) 353-1055 | Full Smile Dental 2808 4th Ave Canyon TX 79015-4270 Ph: (806) 557-4085 |
| NPI Number | 1588202030 |
|---|---|
| Provider Enumeration Date | 12/16/2019 |
| Last Update Date | 02/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588202030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Sol Dental-canyon Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N 23rd St, Canyon, TX 79015 Phone: 806-591-1101 Fax: 806-853-6620 | |
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Canyon Family Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2808 4th Ave, B, Canyon, TX 79015 Phone: 806-557-4085 Fax: 806-557-4131 |