| Smileup Dentistry, Pllc | |
|
300 Fm 407 E # 300 Bartonville TX 76226-5913 | |
| (940) 333-3234 | |
| Not Available |
| Full Name | Smileup Dentistry, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 300 Fm 407 E # 300, Bartonville, Texas |
| Authorized Official Name and Position | Anne Demmy (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smileup Dentistry, Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Smileup Dentistry, Pllc 300 Fm 407 E # 300 Bartonville TX 76226-5913 Ph: (940) 333-3234 |
| NPI Number | 1508522152 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508522152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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