Organization
GREATWOOD FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LIGHTFOOT (AUTHORIZED REPRESENTATIVE)
(214) 702-0708
Entity
Organization
Contact information
Practice address
1233 CRABB RIVER RD, RICHMOND, TX 77469-5616
(281) 937-1671
Mailing address
15660 DALLAS PKWY STE 950, DALLAS, TX 75248-3309
(214) 702-0725
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
01/28/2026
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