Healthcare Provider Details

I. General information

NPI: 1306087382
Provider Name (Legal Business Name): TECH TEETH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2009
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4741 BUFFALO GAP RD.
ABILENE TX
79606
US

IV. Provider business mailing address

4741 BUFFALO GAP RD.
ABILENE TX
79606
US

V. Phone/Fax

Practice location:
  • Phone: 325-695-3300
  • Fax: 325-695-9899
Mailing address:
  • Phone: 325-695-3300
  • Fax: 325-695-9899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. HOLLY ARDOIN
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 806-223-6553