| Children's Dentistry Of Wichita Falls | |
|
4021 Rhea Rd Wichita Falls TX 76308-2727 | |
| (940) 613-0210 | |
| (940) 613-0213 |
| Full Name | Children's Dentistry Of Wichita Falls |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4021 Rhea Rd, Wichita Falls, Texas |
| Authorized Official Name and Position | Timothy Dae Lee (PRESIDENT) |
| Authorized Official Contact | 2149230648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dentistry Of Wichita Falls 4021 Rhea Rd Wichita Falls TX 76308-2727 Ph: (940) 613-0210 | Children's Dentistry Of Wichita Falls 4021 Rhea Rd Wichita Falls TX 76308-2727 Ph: (940) 613-0210 |
| NPI Number | 1962725994 |
|---|---|
| Provider Enumeration Date | 03/04/2010 |
| Last Update Date | 03/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962725994 | NPI | - | NPPES |
| 3469330-01 | Medicaid | TX | |
| 209326201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 22042 (Texas) | Primary |
Dentistry 4 Kidz, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: #1 Eureka Circle #103, Wichita Falls, TX 76308 Phone: 940-691-5027 Fax: 940-691-5076 | |
Value Smiles Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2710 Central Freeway, Ste 140, Wichita Falls, TX 76306 Phone: 559-779-1083 | |
Hh Ortho Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2211 Midwestern Pkwy, Suite 1, Wichita Falls, TX 76308 Phone: 940-691-2911 Fax: 940-691-4240 | |
Benny F Fleming Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Brook Ave, Suite A, Wichita Falls, TX 76301 Phone: 940-723-0441 Fax: 940-322-4374 | |
Kenneth E. Aboussie Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Harrison St, Wichita Falls, TX 76308 Phone: 940-723-6677 Fax: 940-723-6670 | |
Smart Mouth Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2120 Virginia Dr Ste A, Wichita Falls, TX 76309 Phone: 940-761-5979 Fax: 903-465-1134 | |
Value Smiles Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2710 Central Fwy, Ste140, Wichita Falls, TX 76306 Phone: 817-992-7005 |