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Thomas K. W. Draper, Dmd. Md, Pllc
Oral and Maxillofacial Surgery (Dentist) in Forney, Texas
NPI 1700157146

Thomas K. W. Draper, Dmd. Md, Pllc is a Oral and Maxillofacial Surgery (Dentist) based in Forney, TX and is specialized in Oral and Maxillofacial Surgery. Thomas K. W. Draper, Dmd. Md, Pllc practices in Forney, TX. The NPI Number for Thomas K. W. Draper, Dmd. Md, Pllc is 1700157146 and holds a License No. 24789 (Texas).

The current practice location address for Thomas K. W. Draper, Dmd. Md, Pllc is 215 S Fm 548, Forney, TX and can be reached out via phone at 469-689-0704 and via fax at 469-689-0709.

Location: 215 S Fm 548, Forney, TX, 75126-4129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700157146
Provider Name
Thomas K. W. Draper, Dmd. Md, Pllc
Credential
Provider Entity Type
Organization
Address
215 S Fm 548, Forney, TX, 75126-4129
Phone Number
469-689-0704
Fax Number
469-689-0709
Provider Enumeration Date
01/17/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1306018320 01 TX INDIVIDUAL NPI
206992419 05 TX
288152601 01 TX FACILITY TPI MEDICAID
OPT0005 01 TX MEDICARE OPT OUT PTAN
institution
Provider Business Practice Location Address Details
Address
215 S Fm 548
City
Forney
State
Texas
Zip
75126-4129
Phone Number
469-689-0704
Fax Number
469-689-0709
person
Provider Business Mailing Address Details
Address
215 S Fm 548
City
Forney
State
Texas
Zip
75126-4129
Phone Number
469-689-0704
Fax Number
469-689-0709
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
24789 (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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