Healthcare Provider Details

I. General information

NPI: 1972419901
Provider Name (Legal Business Name): SILVERTOOTH FAMILY DENTAL OF WHITE OAK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S WHITE OAK RD
WHITE OAK TX
75693-1423
US

IV. Provider business mailing address

601 S WHITE OAK RD
WHITE OAK TX
75693-1423
US

V. Phone/Fax

Practice location:
  • Phone: 903-445-2573
  • Fax:
Mailing address:
  • Phone: 903-445-2573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHAD S SILVERTOOTH
Title or Position: DR/OWNER
Credential: DDS
Phone: 903-445-2573