Melissa Tiny Teeth, Pllc | |
1500 Scott Street Suite 200 Melissa TX 75454 | |
(469) 425-5437 | |
Not Available |
Full Name | Melissa Tiny Teeth, Pllc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1500 Scott Street, Melissa, Texas |
Authorized Official Name and Position | James Slaughter (OWNER) |
Authorized Official Contact | 4694255437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Melissa Tiny Teeth, Pllc 1500 Scott Street Suite 200 Melissa TX 75454 Ph: () - | Melissa Tiny Teeth, Pllc 1500 Scott Street Suite 200 Melissa TX 75454 Ph: (469) 425-5437 |
NPI Number | 1326668898 |
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Provider Enumeration Date | 04/24/2020 |
Last Update Date | 04/24/2020 |
Identifier | Type | State | Issuer |
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1326668898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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