Organization
JACKSONVILLE SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WYATT SETH CHECKETTS DDS (OWNER/DENTIST)
(903) 586-1551
Entity
Organization
Contact information
Practice address
606 BROOKSIDE DR, JACKSONVILLE, TX 75766-2519
(903) 586-1551
(903) 586-1552
Mailing address
606 BROOKSIDE DR, JACKSONVILLE, TX 75766-2519
(903) 586-1551
(903) 586-1552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30949
TX
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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