Individual
MARK A. OPPENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
5246 S 31ST ST, TEMPLE, TX 76502-3513
(254) 773-4444
(254) 773-4444
Mailing address
1500 W UNIVERSITY AVE STE 108, GEORGETOWN, TX 78628-7109
(518) 852-0884
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
38174
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
38174
TX
Other
Enumeration date
03/28/2016
Last updated
02/09/2024
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