# ASHLEY R. TELLO, D.D.S., P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Little Lakeside Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457956757
- **Authorized official:** DR. ASHLEY RENE TELLO DDS (DENTIST/OWNER)
- **Authorized official phone:** (817) 894-1222

## Contact information

- **Practice address:** 101 WESTERN HILLS TRL, GRANBURY, TX 76049-6701
- **Practice address phone:** (817) 894-1222
- **Mailing address:** 101 WESTERN HILLS TRL, GRANBURY, TX 76049-6701
- **Mailing address phone:** (817) 776-8656
- **Mailing address fax:** (817) 776-8657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2020
- **Last updated:** 04/16/2026