| Waterford Oral Surgery | |
|
5246 S 31st St Temple TX 76502-3513 | |
| (254) 773-4444 | |
| (254) 773-4449 |
| Full Name | Waterford Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5246 S 31st St, Temple, Texas |
| Authorized Official Name and Position | Brad Anthony Schafer (OWNER/ ORAL SURGEON) |
| Authorized Official Contact | 2547734444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterford Oral Surgery 5246 S 31st St Temple TX 76502-3513 Ph: (254) 773-4444 | Waterford Oral Surgery 5246 S 31st St Temple TX 76502-3513 Ph: (254) 773-4444 |
| NPI Number | 1033720065 |
|---|---|
| Provider Enumeration Date | 08/13/2020 |
| Last Update Date | 08/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033720065 | NPI | - | NPPES |
| 35686 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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