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SPEARMINT KIDS AND ORTHODONTICS PLLC NPI 1457004178


NPI Information

NPI: 1457004178
Provider Name: SPEARMINT KIDS AND ORTHODONTICS PLLC

Doing Business As: SPEARMINT KIDS AND ORTHODONTICS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4111 SOUTHWEST PKWY SUITE #500
WICHITA FALLS, TX
ZIP 76308
Phone: (940) 301-3669
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SPEARMINT KIDS AND ORTHODONTICS PLLC is a general practice dentist in Wichita Falls, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SPEARMINT KIDS AND ORTHODONTICS PLLC NPI is 1457004178. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Spearmint Kids And Orthodontics.

The provider's business location address is:

4111 SOUTHWEST PKWY SUITE #500
WICHITA FALLS, TX
ZIP 76308
Phone: (940) 301-3669

The provider's authorized official is Jenny Garcia .
The authorized official title is Lead Of Credentialing and has the following contact phone number (972) 869-3789.

The enumeration date for this NPI number is 2/2/2022 and was last updated on 8/31/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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