| Topaz Dentistry | |
|
1601 Walton Dr Waco TX 76705-2468 | |
| (678) 904-5665 | |
| (678) 904-5666 |
| Full Name | Topaz Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1601 Walton Dr, Waco, Texas |
| Authorized Official Name and Position | Dale Mayfield (PRESIDENT) |
| Authorized Official Contact | 7709165036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Topaz Dentistry 1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 Ph: (770) 916-5028 | Topaz Dentistry 1601 Walton Dr Waco TX 76705-2468 Ph: (678) 904-5665 |
| NPI Number | 1174822118 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 06/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174822118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | () | Secondary |
| 1223G0001X | Dentist - General Practice | () | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Secondary |
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