Greenville Tiny Teeth PLLC
Dentist, Pediatric Dentistry in Greenville, TX. Organization (NPI-2).
NPI number1699208488
StatusActive
Last updated in NPPESApr 7, 2017
Details
- NPI
- 1699208488
- Entity type
- Organization (NPI-2)
- Legal business name
- Greenville Tiny Teeth PLLC
- Organization subpart
- No
- Enumeration date
- Apr 7, 2017
- Last updated
- Apr 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 27169 | TX | Yes |
Other names
- Texas Tiny Teeth (Doing Business As)
Practice location
3206 I 30Suite C
Greenville, TX 75402-7000
Phone 469-207-0302
Mailing address
3206 I 30Suite C
Greenville, TX 75402-7000
Phone 469-207-0302
Authorized official
James Slaughter
Owner/Dentist
4692070302
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