| Kingwood Oral Surgery, Pllc | |
|
2300 Green Oak Dr Ste 600 Kingwood TX 77339-2054 | |
| (281) 358-3002 | |
| (281) 358-3855 |
| Full Name | Kingwood Oral Surgery, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2300 Green Oak Dr Ste 600, Kingwood, Texas |
| Authorized Official Name and Position | Gary Wayne Mcdonald (OWNER) |
| Authorized Official Contact | 2813582002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingwood Oral Surgery, Pllc 2300 Green Oak Dr Ste 600 Kingwood TX 77339-2054 Ph: (281) 358-3002 | Kingwood Oral Surgery, Pllc 2300 Green Oak Dr Ste 600 Kingwood TX 77339-2054 Ph: (281) 358-3002 |
| NPI Number | 1902572720 |
|---|---|
| Provider Enumeration Date | 08/20/2021 |
| Last Update Date | 08/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902572720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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