# GAIL GARDNER LIVENGOOD DDS, PA

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

## Provider details

- **NPI number:** 1205163029
- **Authorized official:** GAIL G LIVENGOOD D.D.S. (DENTIST)
- **Authorized official phone:** (512) 398-3429

## Contact information

- **Practice address:** 701 STATE PARK RD, LOCKHART, TX 78644
- **Practice address phone:** (512) 398-3429
- **Practice address fax:** (512) 398-2233
- **Mailing address:** PO BOX 568, LOCKHART, TX 78644-0568
- **Mailing address phone:** (512) 398-3429
- **Mailing address fax:** (512) 398-2233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12566 | TX | Yes |

## Other

- **Enumeration date:** 11/16/2009
- **Last updated:** 11/16/2009