Abilen Oral And Maxillofacial Surgery Associates Pllc

LBN: Abilen Oral And Maxillofacial Surgery Associates Pllc
Abilen Oral And Maxillofacial Surgery Associates Pllc is an health care organization with primary practice located at 4 Hospital Dr , Abilene TX 79606-5289. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Abilen Oral And Maxillofacial Surgery Associates Pllc can be contacted via phone (325) 437-3100, or through Kethley, Joe L via phone (325) 437-3100.

Contact Information

Primary practice address
4 Hospital Dr Abilene TX 79606-5289
Fax: (325) 437-3199
Website:
Authorized official contact:
Name: Kethley, Joe L Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 10328 Texas

Profile Details

NPI number 1316360373
LBN Legal business name Abilen Oral And Maxillofacial Surgery Associates Pllc
DBA Doing business as
Authorized official Kethley, Joe L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2014
Last updated Jan 28th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316360373 NPPES
Texas MEDICAID 136335007

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