Organization · Type 2 NPI

Dentate PLLC

Oral and Maxillofacial Surgery (Dentist) · Nacogdoches, TX

NPI number 1487623104 Active

Practice location

508 Russell Blvd
Nacogdoches, TX 75965-1244

Fax (936) 564-0808

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2 other providers at this address

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About NPI 1487623104

Dentate PLLC's National Provider Identifier is 1487623104, issued on Mar 15, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Nacogdoches, TX. The record was last updated on Aug 20, 2021.