Permian Basin Dental Group

NPI #1972625978 in Odessa, Texas

Provider Information

NPI Number: 1972625978
Entity Type: Organization
Organization Name: Permian Basin Dental Group
Primary Specialty: Dentist
Enumeration Date: Apr 3, 2007
Last Updated: Aug 8, 2012

Practice Location

Address: 2631 FAUDREE RD UNIT B
City: Odessa
State: Texas
ZIP Code: 79765-8530
Phone: (432) 563-1760

Authorized Official

Name: DR. KENNETH WELBY HIGGINS, D.D.S.
Title: OWNER
Phone: (432) 563-1760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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