| Full Smile Dental, Pllc | |
|
3609 S Georgia St Amarillo TX 79109-4847 | |
| (806) 353-1055 | |
| (806) 353-1055 |
| Full Name | Full Smile Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3609 S Georgia St, Amarillo, Texas |
| Authorized Official Name and Position | Jennifer Lynn Williams (CREDENTIALING) |
| Authorized Official Contact | 8068039452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Smile Dental, Pllc 5051 S Soncy Rd Amarillo TX 79119-6667 Ph: (806) 353-1055 | Full Smile Dental, Pllc 3609 S Georgia St Amarillo TX 79109-4847 Ph: (806) 353-1055 |
| NPI Number | 1699394833 |
|---|---|
| Provider Enumeration Date | 04/08/2020 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699394833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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