# OPEN MOUTH, PLLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Good Faith Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174194732
- **Authorized official:** NICOLE GREEN (OFFICE MANAGER)
- **Authorized official phone:** (817) 900-0764

## Contact information

- **Practice address:** 310 NW JOHN JONES DR STE 100, BURLESON, TX 76028-5788
- **Practice address phone:** (817) 900-0764
- **Practice address fax:** (818) 242-5283
- **Mailing address:** 310 NW JOHN JONES DR STE 100, BURLESON, TX 76028-5788

## Taxonomy

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

## Other

- **Enumeration date:** 07/06/2021
- **Last updated:** 09/02/2021