Fairway Drive Dentistry Pllc

NPI #1336764000 in Alvin, Texas

Provider Information

NPI Number: 1336764000
Entity Type: Organization
Organization Name: Fairway Drive Dentistry Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 9, 2020
Last Updated: Jun 9, 2020

Practice Location

Address: 1701 FAIRWAY DR STE 20
City: Alvin
State: Texas
ZIP Code: 77511-4678
Phone: (281) 331-0020

Authorized Official

Name: FAITH GASKINS
Title: DIRECTOR OF CREDENTIALING
Phone: (972) 869-3789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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