# DECATUR SMILES

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

## Provider details

- **NPI number:** 1801274659
- **Authorized official:** BENJAMIN ALLEN CLARK DMD (DENTIST)
- **Authorized official phone:** (940) 627-3730

## Contact information

- **Practice address:** 301 W MAIN ST, DECATUR, TX 76234-1383
- **Practice address phone:** (940) 627-3730
- **Practice address fax:** (903) 465-1134
- **Mailing address:** 301 W MAIN ST, DECATUR, TX 76234-1383
- **Mailing address phone:** (940) 627-3730
- **Mailing address fax:** (903) 465-1134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 30234 | TX | Yes |

## Other

- **Enumeration date:** 05/13/2015
- **Last updated:** 05/13/2015