| Wild Smiles Dental Center Of Houston, Pllc | |
|
5720 Bellaire Blvd Ste D Houston TX 77081-5513 | |
| (713) 668-5437 | |
| (713) 668-5433 |
| Full Name | Wild Smiles Dental Center Of Houston, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5720 Bellaire Blvd Ste D, Houston, Texas |
| Authorized Official Name and Position | Jenell Stringer (MANAGER, LICENSING & CREDENTIALING) |
| Authorized Official Contact | 6157500343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Smiles Dental Center Of Houston, Pllc 208 W 8th St Suite 810 Pueblo CO 81003-3023 Ph: (719) 562-4447 | Wild Smiles Dental Center Of Houston, Pllc 5720 Bellaire Blvd Ste D Houston TX 77081-5513 Ph: (713) 668-5437 |
| NPI Number | 1750563847 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 10/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750563847 | NPI | - | NPPES |
| 189492501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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