# GIGGLES & GRINS PEDIATRIC DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497026728
- **Authorized official:** DR. AMY K WATTS DDS (CO-OWNER)
- **Authorized official phone:** (817) 488-3533

## Contact information

- **Practice address:** 2915 E SOUTHLAKE BLVD, SUITE 200, SOUTHLAKE, TX 76092-6626
- **Practice address phone:** (817) 488-3533
- **Practice address fax:** (817) 421-9221
- **Mailing address:** 2915 E SOUTHLAKE BLVD, SUITE 200, SOUTHLAKE, TX 76092-6626
- **Mailing address phone:** (817) 488-3533
- **Mailing address fax:** (817) 421-9221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 23819 | TX | Yes |

## Other

- **Enumeration date:** 01/18/2012
- **Last updated:** 01/18/2012