Organization
FAMILY SMILES OF GREENVILLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT CHAD EVANS DDS (OWNER)
(940) 312-5626
Entity
Organization
Contact information
Practice address
8110 WESLEY ST STE 100, GREENVILLE, TX 75402-3936
(940) 222-7833
(855) 731-5147
Mailing address
PO BOX 674330, DALLAS, TX 75267-4330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23695
TX
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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