# ABILENE DENTAL CARE SOUTH PLLC

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

## Provider details

- **NPI number:** 1699260497
- **Authorized official:** FAITH GASKINS (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (630) 877-3520

## Contact information

- **Practice address:** 4102 BUFFALO GAP RD STE F, ABILENE, TX 79605-7243
- **Practice address phone:** (325) 200-4820
- **Mailing address:** 4102 BUFFALO GAP RD STE F, ABILENE, TX 79605-7243
- **Mailing address phone:** (325) 200-4820
- **Mailing address fax:** (972) 590-8809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/25/2018
- **Last updated:** 09/12/2019