Heritage Oral And Facial Surgery, Pllc | |
1237 County Road 197 Jonesboro TX 76538-1207 | |
(254) 300-8804 | |
(254) 350-2868 |
Full Name | Heritage Oral And Facial Surgery, Pllc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1237 County Road 197, Jonesboro, Texas |
Authorized Official Name and Position | Joseph Dylan Bowles (MANAGER) |
Authorized Official Contact | 9109229644 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Heritage Oral And Facial Surgery, Pllc 1237 County Road 197 Jonesboro TX 76538-1207 Ph: (254) 300-8804 | Heritage Oral And Facial Surgery, Pllc 1237 County Road 197 Jonesboro TX 76538-1207 Ph: (254) 300-8804 |
NPI Number | 1588021950 |
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Provider Enumeration Date | 01/15/2016 |
Last Update Date | 01/15/2016 |
Identifier | Type | State | Issuer |
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1588021950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 21840 (Texas) | Primary |
Texas Dental Implant Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1237 County Road 197, Jonesboro, TX 76538 Phone: 910-922-9644 |