| Smileup Dentistry - Irving Pllc | |
|
1425 N O Connor Rd Irving TX 75061-4654 | |
| (214) 571-7264 | |
| Not Available |
| Full Name | Smileup Dentistry - Irving Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1425 N O Connor Rd, Irving, Texas |
| Authorized Official Name and Position | Anne Demmy (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9199980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smileup Dentistry - Irving Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Smileup Dentistry - Irving Pllc 1425 N O Connor Rd Irving TX 75061-4654 Ph: (214) 571-7264 |
| NPI Number | 1922764489 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922764489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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