Stimpsmiles, Pllc | |
4041 W Wheatland Rd Ste 150 Dallas TX 75237-4069 | |
(972) 283-2700 | |
(972) 283-2709 |
Full Name | Stimpsmiles, Pllc |
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Speciality | Dentist |
Location | 4041 W Wheatland Rd Ste 150, Dallas, Texas |
Authorized Official Name and Position | Natalie Noele Stimpson (CEO) |
Authorized Official Contact | 2142083872 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stimpsmiles, Pllc 4041 W Wheatland Rd Ste 150 Dallas TX 75237-4069 Ph: (972) 283-2700 | Stimpsmiles, Pllc 4041 W Wheatland Rd Ste 150 Dallas TX 75237-4069 Ph: (972) 283-2700 |
NPI Number | 1245821578 |
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Provider Enumeration Date | 01/29/2021 |
Last Update Date | 01/09/2024 |
Medicare PECOS PAC ID | 0840699153 |
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Medicare Enrollment ID | O20210518002714 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245821578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Provider Name | Natalie N Stimpson |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1801190087 PECOS PAC ID: 5395144604 Enrollment ID: I20210518002756 |
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