| Full Smile Dental Hereford, Pllc | |
|
809 W Park Ave Hereford TX 79045-4001 | |
| (806) 641-1373 | |
| (806) 353-7077 |
| Full Name | Full Smile Dental Hereford, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 809 W Park Ave, Hereford, Texas |
| Authorized Official Name and Position | Jennifer Williams (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8063531055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Smile Dental Hereford, Pllc 5051 S Soncy Rd Amarillo TX 79119-6667 Ph: (806) 353-1055 | Full Smile Dental Hereford, Pllc 809 W Park Ave Hereford TX 79045-4001 Ph: (806) 641-1373 |
| NPI Number | 1063120343 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 11/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063120343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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