| Farwell Dental Clinic | |
|
303 3rd St Farwell TX 79325-4669 | |
| (806) 481-3336 | |
| (806) 481-3339 |
| Full Name | Farwell Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 303 3rd St, Farwell, Texas |
| Authorized Official Name and Position | Joyce Roe Ivins (OWNER) |
| Authorized Official Contact | 8064813336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farwell Dental Clinic Po Box 800 Farwell TX 79325-0800 Ph: (806) 481-3336 | Farwell Dental Clinic 303 3rd St Farwell TX 79325-4669 Ph: (806) 481-3336 |
| NPI Number | 1891127221 |
|---|---|
| Provider Enumeration Date | 08/08/2013 |
| Last Update Date | 08/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891127221 | NPI | - | NPPES |
| 0087520-1 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 11608 (Texas) | Primary |
Full Smile Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 816 Avenue A, Farwell, TX 79325 Phone: 806-353-1055 Fax: 806-353-7077 |