# ABILENE ENDODONTICS, PC

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

## Provider details

- **NPI number:** 1255840351
- **Authorized official:** MR. CHAD R SOUTHARD FACHE, FHFMA, CMPE (ADMINISTRATOR)
- **Authorized official phone:** (325) 704-5001

## Contact information

- **Practice address:** 5849 BUFFALO GAP ROAD, SUITE C, ABILENE, TX 79606
- **Practice address phone:** (325) 704-5001
- **Practice address fax:** (325) 704-5141
- **Mailing address:** 5849 BUFFALO GAP ROAD, SUITE C, ABILENE, TX 79606
- **Mailing address phone:** (325) 704-5001
- **Mailing address fax:** (325) 704-5141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2017
- **Last updated:** 07/21/2022