MEDICARE: TURNER DENTAL MOBILE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1679300594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TURNER DENTAL MOBILE PLLC

Provider Business Mailing Address
First Line	:	3118 BUFFALO GAP RD
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79605-6810
Country	:	US
Telephone Number	:	325-698-3384
Fax Number	:

Provider Business Practice Location Address
First Line	:	3118 BUFFALO GAP RD
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79605-6810
Country	:	US
Telephone Number	:	325-698-3384
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	GARRETT TURNER
Credential	:	DDS
Telephone Number	:	325-698-3384

Provider Enumeration Date	:	09/16/2024
Last Update Date	:	09/16/2024

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