| Fossum Dental Group | |
|
201 W Fm 2410 Rd Harker Heights TX 76548-1709 | |
| (254) 699-3565 | |
| Not Available |
| Full Name | Fossum Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 201 W Fm 2410 Rd, Harker Heights, Texas |
| Authorized Official Name and Position | Rchard Fossum (ORGANIZER) |
| Authorized Official Contact | 2547783900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fossum Dental Group 2534 Blue Meadow Dr Temple TX 76502-7924 Ph: (254) 778-3900 | Fossum Dental Group 201 W Fm 2410 Rd Harker Heights TX 76548-1709 Ph: (254) 699-3565 |
| NPI Number | 1881807592 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881807592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22304 (Texas) | Primary |
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