| Showtime Family Dental | |
|
3401 Altamesa Blvd Suite 128 Fort Worth TX 76133-8741 | |
| (817) 361-8111 | |
| (817) 361-8113 |
| Full Name | Showtime Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3401 Altamesa Blvd, Fort Worth, Texas |
| Authorized Official Name and Position | Sonia Denise Smith (DENTIST) |
| Authorized Official Contact | 8177237141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Showtime Family Dental 3401 Altamesa Blvd Suite 128 Fort Worth TX 76133-8741 Ph: (817) 361-8111 | Showtime Family Dental 3401 Altamesa Blvd Suite 128 Fort Worth TX 76133-8741 Ph: (817) 361-8111 |
| NPI Number | 1790926806 |
|---|---|
| Provider Enumeration Date | 03/19/2009 |
| Last Update Date | 03/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790926806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22677 (Texas) | Primary |
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