| Gainesville Orthodontics | |
|
840a E Main St Gainesville TX 76240-4907 | |
| (940) 612-0726 | |
| Not Available |
| Full Name | Gainesville Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 840a E Main St, Gainesville, Texas |
| Authorized Official Name and Position | Adam Wells Benham (PART OWNER) |
| Authorized Official Contact | 4692316672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gainesville Orthodontics 840a E Main St Gainesville TX 76240-4907 Ph: (940) 612-0726 | Gainesville Orthodontics 840a E Main St Gainesville TX 76240-4907 Ph: (940) 612-0726 |
| NPI Number | 1134362874 |
|---|---|
| Provider Enumeration Date | 04/10/2009 |
| Last Update Date | 04/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134362874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22263 (Texas) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22263 (Texas) | Primary |
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