Abilene Family Dental PLLC
Dentist, General Practice in Abilene, TX. Organization (NPI-2).
NPI number1487312807
StatusActive
Last updated in NPPESDec 2, 2021
Details
- NPI
- 1487312807
- Entity type
- Organization (NPI-2)
- Legal business name
- Abilene Family Dental PLLC
- Organization subpart
- No
- Enumeration date
- Dec 2, 2021
- Certification date
- Dec 2, 2021
- Last updated
- Dec 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Sam Spence DDS Family Dentistry (Doing Business As)
Practice location
3390 S 27th StAbilene, TX 79605-6224
Phone 325-695-0088 · Fax 325-695-7778
Mailing address
3390 S 27th StAbilene, TX 79605-6224
Phone 325-695-0088 · Fax 325-695-7778
Authorized official
Faith Gaskins
Director Of Credentialing
9728693789
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