| Smart Mouth Pllc | |
|
211 Old Hewitt Rd Waco TX 76712-6560 | |
| (254) 399-9000 | |
| (254) 399-9001 |
| Full Name | Smart Mouth Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 211 Old Hewitt Rd, Waco, Texas |
| Authorized Official Name and Position | Amanda Rider Trotter (OWNER/PEDIATRIC DENTIST) |
| Authorized Official Contact | 2543999000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Mouth Pllc 3119 River Place Dr Belton TX 76513-1013 Ph: (254) 933-9826 | Smart Mouth Pllc 211 Old Hewitt Rd Waco TX 76712-6560 Ph: (254) 399-9000 |
| NPI Number | 1902237381 |
|---|---|
| Provider Enumeration Date | 12/10/2013 |
| Last Update Date | 12/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902237381 | NPI | - | NPPES |
| 1134118870 | Other | TX | INDIVIDUAL PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 16801 (Texas) | Primary |
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