Healthcare Provider Details

I. General information

NPI: 1679300594
Provider Name (Legal Business Name): TURNER DENTAL MOBILE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 09/16/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3118 BUFFALO GAP RD
ABILENE TX
79605-6810
US

IV. Provider business mailing address

3118 BUFFALO GAP RD
ABILENE TX
79605-6810
US

V. Phone/Fax

Practice location:
  • Phone: 325-698-3384
  • Fax:
Mailing address:
  • Phone: 325-698-3384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: GARRETT TURNER
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 325-698-3384