# CLARK & GOSSETT IMPLANT AND ORAL SURGERY, PA

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

## Provider details

- **NPI number:** 1669640876
- **Authorized official:** JAMES DOUGLAS GOSSETT DDS (OWNER)
- **Authorized official phone:** (830) 625-6914

## Contact information

- **Practice address:** 3013 INDEPENDENCE DRIVE, NEW BRAUNFELS, TX 78132
- **Practice address phone:** (830) 625-6914
- **Practice address fax:** (830) 629-5530
- **Mailing address:** 3013 INDEPENDENCE DRIVE, NEW BRAUNFELS, TX 78132
- **Mailing address phone:** (830) 625-6914
- **Mailing address fax:** (830) 629-5530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 17023 | TX | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 18816 | TX | — |

## Other

- **Enumeration date:** 02/11/2008
- **Last updated:** 07/02/2019