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FULL SMILE DENTAL COLONIES PLLC NPI 1538734249


NPI Information

NPI: 1538734249
Provider Name: FULL SMILE DENTAL COLONIES, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4515 VAN WINKLE DR
AMARILLO, TX
ZIP 79119
Phone: (806) 641-1373
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FULL SMILE DENTAL COLONIES, PLLC is a general practice dentist in Amarillo, 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. FULL SMILE DENTAL COLONIES, PLLC NPI is 1538734249. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4515 VAN WINKLE DR
AMARILLO, TX
ZIP 79119-423
Phone: (806) 641-1373
Fax: (806) 353-7077

The provider's authorized official is William E Graves .
The authorized official title is Owner and has the following contact phone number (806) 353-1055.

The enumeration date for this NPI number is 5/25/2021 and was last updated on 2/24/2022.


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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