| Longorn Dental | |
|
5008 Midway Dr Temple TX 76502-1416 | |
| (254) 773-1688 | |
| (254) 773-6448 |
| Full Name | Longorn Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5008 Midway Dr, Temple, Texas |
| Authorized Official Name and Position | Malcolm Ray Scott (PRESIDENT) |
| Authorized Official Contact | 5123711222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longorn Dental 7517 Cameron Rd Suite 107 Austin TX 78752-2057 Ph: (512) 371-1222 | Longorn Dental 5008 Midway Dr Temple TX 76502-1416 Ph: (254) 773-1688 |
| NPI Number | 1770709743 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770709743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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