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WONDERLAND SMILES PLLC NPI 1013422575


NPI Information

NPI: 1013422575
Provider Name: WONDERLAND SMILES PLLC

Doing Business As: CLEAN DENTAL PC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4907 SPRING AVE
DALLAS, TX
ZIP 75210
Phone: (469) 828-1166
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WONDERLAND SMILES PLLC is a general practice dentist in Dallas, 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. WONDERLAND SMILES PLLC NPI is 1013422575. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clean Dental Pc.

The provider's business location address is:

4907 SPRING AVE
DALLAS, TX
ZIP 75210-360
Phone: (469) 828-1166

The provider's authorized official is April L Samuels .
The authorized official title is Owner Dentist and has the following contact phone number (214) 274-0483.

The enumeration date for this NPI number is 12/6/2017 and was last updated on 12/6/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

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