Organization
ABILEN ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PLLC
Active
Organization
ABILEN ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE L KETHLEY JR. DDS (OWNER)
(325) 437-3100
Entity
Organization
Contact information
Practice address
4 HOSPITAL DR, ABILENE, TX 79606-5289
(325) 437-3100
(325) 437-3199
Mailing address
4 HOSPITAL DR, ABILENE, TX 79606-5289
(325) 437-3100
(325) 437-3199
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10328
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136335007
—
TX
Enumeration date
01/28/2014
Last updated
01/28/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up