Liberty Hill Dental PA

NPI #1184703316 in Liberty Hill, Texas

Provider Information

NPI Number: 1184703316
Entity Type: Organization
Organization Name: Liberty Hill Dental PA
Primary Specialty: Dentist
Enumeration Date: Nov 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 14933 W STATE HWY 29
City: Liberty Hill
State: Texas
ZIP Code: 78642
Phone: (512) 515-0171

Authorized Official

Name: DR. THAD H GILLESPIE, DDS
Title: OWNER PRESIDENT
Phone: (512) 515-0171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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