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3028 S 31st St Temple TX 76502-1802 | |
| (254) 899-2500 | |
| (254) 899-2999 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3028 S 31st St, Temple, Texas |
| Authorized Official Name and Position | Gerald Wayne Mcconnell (OWNER) |
| Authorized Official Contact | 2548992500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3028 S 31st St Temple TX 76502-1802 Ph: (254) 899-2500 | 3028 S 31st St Temple TX 76502-1802 Ph: (254) 899-2500 |
| NPI Number | 1780804468 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780804468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8204 (Texas) | Primary |
Temple Dental Arts. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3809 S. General Bruce Drive, Suite 104, Temple, TX 76502 Phone: 254-778-3384 | |
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