# TEMPLE TOTAL DENTAL AND ORTHODONTICS PLLC

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

## Provider details

- **NPI number:** 1467937615
- **Authorized official:** FAITH GASKINS (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (972) 869-3789

## Contact information

- **Practice address:** 7410 W ADAMS AVE STE 140, TEMPLE, TX 76502-5892
- **Practice address phone:** (254) 870-0547
- **Mailing address:** 2403 LACY LN, CARROLLTON, TX 75006-6514
- **Mailing address phone:** (972) 869-3789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2018
- **Last updated:** 10/03/2018