| Healthy Smiles Children's Dentistry | |
|
12398 Fm 423 Suite 1900 Frisco TX 75033-4758 | |
| (214) 436-4774 | |
| (214) 436-4775 |
| Full Name | Healthy Smiles Children's Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 12398 Fm 423, Frisco, Texas |
| Authorized Official Name and Position | Mila Davis (OWNER) |
| Authorized Official Contact | 2144364774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Smiles Children's Dentistry 12398 Fm 423 Suite 1900 Frisco TX 75033-4758 Ph: (214) 436-4774 | Healthy Smiles Children's Dentistry 12398 Fm 423 Suite 1900 Frisco TX 75033-4758 Ph: (214) 436-4774 |
| NPI Number | 1497112551 |
|---|---|
| Provider Enumeration Date | 01/20/2016 |
| Last Update Date | 01/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497112551 | NPI | - | NPPES |
| 23502 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21147 (Texas) | Primary |
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