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Lake Kiowa Smiles, Pllc
General Practice Dentistry in Lake Kiowa, Texas
NPI 1952889404

Lake Kiowa Smiles, Pllc is a General Practice Dentistry based in Lake Kiowa, TX and is specialized in General Practice. Lake Kiowa Smiles, Pllc practices in Lake Kiowa, TX. The NPI Number for Lake Kiowa Smiles, Pllc is 1952889404 and holds a License No. 25047 (Texas).

The current practice location address for Lake Kiowa Smiles, Pllc is 100 Kiowa Dr W, Ste 200, Lake Kiowa, TX and can be reached out via phone at 940-612-1555 and via fax at 940-612-1565.

Location: 100 Kiowa Dr W, Ste 200, Lake Kiowa, TX, 76240-9502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952889404
Provider Name
Lake Kiowa Smiles, Pllc
Credential
Provider Entity Type
Organization
Address
100 Kiowa Dr W, Ste 200, Lake Kiowa, TX, 76240-9502
Phone Number
940-612-1555
Fax Number
940-612-1565
Provider Enumeration Date
08/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20547 01 TX STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
100 Kiowa Dr W, Ste 200
City
Lake Kiowa
State
Texas
Zip
76240-9502
Phone Number
940-612-1555
Fax Number
940-612-1565
person
Provider Business Mailing Address Details
Address
100 Kiowa Dr W, Ste 200
City
Lake Kiowa
State
Texas
Zip
76240-9502
Phone Number
940-612-1555
Fax Number
940-612-1565
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
25047 (Texas)
Definition
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.
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