Abilene Dental Care South Pllc

NPI #1699260497 in Abilene, Texas

Provider Information

NPI Number: 1699260497
Entity Type: Organization
Organization Name: Abilene Dental Care South Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 25, 2018
Last Updated: Sep 12, 2019

Practice Location

Address: 4102 BUFFALO GAP RD STE F
City: Abilene
State: Texas
ZIP Code: 79605-7243
Phone: (325) 200-4820

Authorized Official

Name: FAITH GASKINS
Title: DIRECTOR OF CREDENTIALING
Phone: (630) 877-3520

Specialties & Taxonomy Codes

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

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