| Smile Houzz | |
|
1220 Hwy 287 North Mansfield TX 76063 | |
| (817) 453-8826 | |
| (817) 453-8830 |
| Full Name | Smile Houzz |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1220 Hwy 287 North, Mansfield, Texas |
| Authorized Official Name and Position | Shelley Renee Tardy (PRESIDENT) |
| Authorized Official Contact | 8174538826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Houzz 1220 Hwy 287 North Mansfield TX 76063 Ph: (817) 453-8826 | Smile Houzz 1220 Hwy 287 North Mansfield TX 76063 Ph: (817) 453-8826 |
| NPI Number | 1770680829 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 06/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770680829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 016400 (Texas) | Primary |
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