National Provider Identifier Database

WATERFORD DENTAL SPECIALISTS PLLC
Oral and Maxillofacial Surgery

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.


Contact Information

WATERFORD DENTAL SPECIALISTS, PLLC
5246 S. 31ST ST.
TEMPLE, TX76502
Phone: 254-773-4444
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for WATERFORD DENTAL SPECIALISTS, PLLC

NPI Number 1912150111
Legal business name
LBN
WATERFORD DENTAL SPECIALISTS, PLLC
Authorized official TODD EVANS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/31/2008
Last updated 10/31/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 22583

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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