| Southern Surgical Arts | |
|
1721 S Sycamore St Palestine TX 75801-6921 | |
| (903) 723-5111 | |
| (903) 723-0328 |
| Full Name | Southern Surgical Arts |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1721 S Sycamore St, Palestine, Texas |
| Authorized Official Name and Position | Charles G Stone (OWNER) |
| Authorized Official Contact | 9035206448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Surgical Arts 1721 S Sycamore St Palestine TX 75801-6921 Ph: (903) 723-5111 | Southern Surgical Arts 1721 S Sycamore St Palestine TX 75801-6921 Ph: (903) 723-5111 |
| NPI Number | 1396237624 |
|---|---|
| Provider Enumeration Date | 06/01/2018 |
| Last Update Date | 06/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396237624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 20511 (Texas) | Primary |
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