| Abilene Dental Care South Pllc | |
|
4102 Buffalo Gap Rd Ste F Abilene TX 79605-7243 | |
| (325) 200-4820 | |
| Not Available |
| Full Name | Abilene Dental Care South Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4102 Buffalo Gap Rd Ste F, Abilene, Texas |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 6308773520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abilene Dental Care South Pllc 4102 Buffalo Gap Rd Ste F Abilene TX 79605-7243 Ph: (325) 200-4820 | Abilene Dental Care South Pllc 4102 Buffalo Gap Rd Ste F Abilene TX 79605-7243 Ph: (325) 200-4820 |
| NPI Number | 1699260497 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 09/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699260497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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