# GREAT OAKS DENTISTRY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184731036
- **Authorized official:** DR. MARSHALL K WARREN DDS (OWNER PRESIDENT)
- **Authorized official phone:** (830) 625-2583

## Contact information

- **Practice address:** 1532 N WALNUT AVE, NEW BRUNSFELS, TX 78130
- **Practice address phone:** (830) 625-2583
- **Mailing address:** 1532 N WALNUT AVE, NEW BRUNSFELS, TX 78130
- **Mailing address phone:** (830) 625-2583
- **Mailing address fax:** (830) 625-8299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 15682 | TX | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 03/31/2021