Organization
SEGALL SMILES PLLC
Active
Other names
Double T Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN SEGALL DMD (PEDIATRIC DENTIST)
(570) 573-9365
Entity
Organization
Contact information
Practice address
6102 82ND ST STE 2, LUBBOCK, TX 79424-0803
(806) 792-2288
(806) 792-2768
Mailing address
6102 82ND ST STE 2, LUBBOCK, TX 79424-0803
(806) 792-2288
(806) 792-2768
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376890467
ISSUED BY MILITARY
TX
01
—
1558762500
ISSUED BY MILITARY
—
Enumeration date
03/04/2025
Last updated
03/04/2025
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