# WATERFORD ORAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Waterford Dental Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033720065
- **Authorized official:** DR. BRAD ANTHONY SCHAFER DDS (OWNER/ ORAL SURGEON)
- **Authorized official phone:** (254) 773-4444

## Contact information

- **Practice address:** 5246 S 31ST ST, TEMPLE, TX 76502-3513
- **Practice address phone:** (254) 773-4444
- **Practice address fax:** (254) 773-4449
- **Mailing address:** 5246 S 31ST ST, TEMPLE, TX 76502-3513
- **Mailing address phone:** (254) 773-4444
- **Mailing address fax:** (254) 773-4449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2020
- **Last updated:** 08/13/2020