Individual
DR. LANCE A. READ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
15584
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
15584
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83X679
BLUE SHIELD
TX
Enumeration date
03/31/2006
Last updated
05/07/2020
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