# JOHN K. DRISDALE III, DMD, PLLC

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

## Provider details

- **NPI number:** 1265036917
- **Authorized official:** DR. JOHN K DRISDALE III DMD (OWNER)
- **Authorized official phone:** (512) 468-5071

## Contact information

- **Practice address:** 2303 W LOUISIANA AVE, MIDLAND, TX 79701-5800
- **Practice address phone:** (512) 468-5071
- **Mailing address:** 2303 W LOUISIANA AVE, MIDLAND, TX 79701-5800
- **Mailing address phone:** (432) 684-7424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/24/2020
- **Last updated:** 04/01/2021