# CHAD SILVERTOOH DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Silvertooth Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104555861
- **Authorized official:** CHAD S SILVERTOOTH DDS (OWNER/DENTIST)
- **Authorized official phone:** (903) 983-1919

## Contact information

- **Practice address:** 5140 FM 1252 W, KILGORE, TX 75662-1961
- **Practice address phone:** (903) 983-1919
- **Mailing address:** 5140 FM 1252 W, KILGORE, TX 75662-1961
- **Mailing address phone:** (903) 983-1919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2022
- **Last updated:** 06/08/2022