| Grapevine Smiles Pllc | |
|
2700 William D Tate Ave Ste 100 Grapevine TX 76051-4346 | |
| (817) 281-3444 | |
| Not Available |
| Full Name | Grapevine Smiles Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2700 William D Tate Ave Ste 100, Grapevine, Texas |
| Authorized Official Name and Position | Faith Gaskins (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grapevine Smiles Pllc 2700 William D Tate Ave Ste 100 Grapevine TX 76051-4346 Ph: (817) 281-3444 | Grapevine Smiles Pllc 2700 William D Tate Ave Ste 100 Grapevine TX 76051-4346 Ph: (817) 281-3444 |
| NPI Number | 1427645399 |
|---|---|
| Provider Enumeration Date | 12/28/2020 |
| Last Update Date | 12/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427645399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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