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Dentate Pllc
Oral and Maxillofacial Surgery (Dentist) in Nacogdoches, Texas
NPI 1487623104

Dentate Pllc is a Oral and Maxillofacial Surgery (Dentist) based in Nacogdoches, TX and is specialized in Oral and Maxillofacial Surgery. Dentate Pllc practices in Nacogdoches, TX. The NPI Number for Dentate Pllc is 1487623104 and holds a License No. (Texas).

The current practice location address for Dentate Pllc is 508 Russell Blvd, Nacogdoches, TX and can be reached out via phone at 936-569-1111 and via fax at 936-564-0808.

Location: 508 Russell Blvd, Nacogdoches, TX, 75965-1244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487623104
Provider Name
Dentate Pllc
Credential
Provider Entity Type
Organization
Address
508 Russell Blvd, Nacogdoches, TX, 75965-1244
Phone Number
936-569-1111
Fax Number
936-564-0808
Provider Enumeration Date
03/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
508 Russell Blvd
City
Nacogdoches
State
Texas
Zip
75965-1244
Phone Number
936-569-1111
Fax Number
936-564-0808
person
Provider Business Mailing Address Details
Address
508 Russell Blvd
City
Nacogdoches
State
Texas
Zip
75965-1244
Phone Number
936-569-1111
Fax Number
936-564-0808
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
(Texas)
Definition
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.
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