# DIMMITT DENTAL

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

## Provider details

- **NPI number:** 1649918111
- **Authorized official:** JACOB WOODS (DENTIST)
- **Authorized official phone:** (830) 377-7050

## Contact information

- **Practice address:** 304 W BEDFORD ST, DIMMITT, TX 79027-2508
- **Practice address phone:** (806) 681-4135
- **Mailing address:** 304 W BEDFORD ST, DIMMITT, TX 79027-2508
- **Mailing address phone:** (806) 681-4135

## Taxonomy

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

## Other

- **Enumeration date:** 05/24/2022
- **Last updated:** 05/24/2022