| John K. Drisdale Iii, Dmd, Pllc | |
|
2303 W Louisiana Ave Midland TX 79701-5800 | |
| (512) 468-5071 | |
| Not Available |
| Full Name | John K. Drisdale Iii, Dmd, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2303 W Louisiana Ave, Midland, Texas |
| Authorized Official Name and Position | John K Drisdale (OWNER) |
| Authorized Official Contact | 5124685071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John K. Drisdale Iii, Dmd, Pllc 2303 W Louisiana Ave Midland TX 79701-5800 Ph: (432) 684-7424 | John K. Drisdale Iii, Dmd, Pllc 2303 W Louisiana Ave Midland TX 79701-5800 Ph: (512) 468-5071 |
| NPI Number | 1265036917 |
|---|---|
| Provider Enumeration Date | 11/24/2020 |
| Last Update Date | 04/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265036917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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