Lake Kiowa Smiles, Pllc is a Dental Clinic in Lake Kiowa, Texas. It is located at 100 Kiowa Dr W, Ste 200, Lake Kiowa, TX and its contact number is 940-612-1555. The authorized person for Lake Kiowa Smiles, Pllc is Benjamin Tyler Hill
who is Owner of the clinic and their contact number is 940-612-1555. The primary license number for Lake Kiowa Smiles, Pllc is 25047 (General Practice) in Texas.
Lake Kiowa Smiles, Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Lake Kiowa Smiles, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Lake Kiowa Smiles, Pllc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 100 Kiowa Dr W, Ste 200, Lake Kiowa,
Texas, 76240-9502 |
| Phone: | 940-612-1555 |
| Fax: | 940-612-1565 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Benjamin Tyler Hill |
| Position: | Owner |
| Contact Number: | 940-612-1555 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lake Kiowa Smiles, Pllc clinic are as mentioned below.
| NPI Number: | 1952889404 |
| NPI Enumeration Date: | 06 Aug, 2018 |
| NPI Last Update On: | 06 Aug, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Kiowa Smiles, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 25047 | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 20547 | Other | Texas | State License |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lake Kiowa Smiles, Pllc
100 Kiowa Dr W, Ste 200,
Lake Kiowa, Texas |
| Zip: | 76240-9502 |
| Phone Number: | 940-612-1555 |
| Fax Number: | 940-612-1565 |
Patients can reach Lake Kiowa Smiles, Pllc at
100 Kiowa Dr W, Ste 200, Lake Kiowa, Texas or can
call to book an appointment on 940-612-1555.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.