| Abilen Oral And Maxillofacial Surgery Associates Pllc | |
|
4 Hospital Dr Abilene TX 79606-5289 | |
| (325) 437-3100 | |
| (325) 437-3199 |
| Full Name | Abilen Oral And Maxillofacial Surgery Associates Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4 Hospital Dr, Abilene, Texas |
| Authorized Official Name and Position | Joe L Kethley (OWNER) |
| Authorized Official Contact | 3254373100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abilen Oral And Maxillofacial Surgery Associates Pllc 4 Hospital Dr Abilene TX 79606-5289 Ph: (325) 437-3100 | Abilen Oral And Maxillofacial Surgery Associates Pllc 4 Hospital Dr Abilene TX 79606-5289 Ph: (325) 437-3100 |
| NPI Number | 1316360373 |
|---|---|
| Provider Enumeration Date | 01/28/2014 |
| Last Update Date | 01/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316360373 | NPI | - | NPPES |
| 136335007 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10328 (Texas) | Primary |
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› Verified 6 days ago
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