| Smiley Tooth Lllp | |
|
2014 S Goliad St Ste 122 Rockwall TX 75087-4864 | |
| (972) 772-7553 | |
| Not Available |
| Full Name | Smiley Tooth Lllp |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2014 S Goliad St Ste 122, Rockwall, Texas |
| Authorized Official Name and Position | Jennifer A Chou (OWNER/DENTIST) |
| Authorized Official Contact | 9727727553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiley Tooth Lllp 2014 S Goliad St Ste 122 Rockwall TX 75087-4864 Ph: (972) 772-7553 | Smiley Tooth Lllp 2014 S Goliad St Ste 122 Rockwall TX 75087-4864 Ph: (972) 772-7553 |
| NPI Number | 1740685957 |
|---|---|
| Provider Enumeration Date | 10/30/2014 |
| Last Update Date | 10/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740685957 | NPI | - | NPPES |
| 197101201 | Medicaid | TX | |
| 321814101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Texas) | Primary |
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