Abilene Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ABILENE FAMILY DENTAL PLLC

Practice address

3390 S 27TH St
Abilene, TX 79605-6224

Phone

(325) 695-0088

Fax

(325) 695-7778

NPI assigned

Dec 2, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Sam Spence DDS Family Dentistry Doing business as

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Doyle Sam Spence, D.D.S.

  • Dentist
  • Abilene, TX
  • NPI 1831197516
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1487312807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 S 27TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796056224",
            "telephone_number": "325-695-0088",
            "fax_number": "325-695-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 S 27TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796056224",
            "telephone_number": "325-695-0088",
            "fax_number": "325-695-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILENE FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sam Spence DDS Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abilene Eye ASC LP
• Abilene Eye Care, Inc.
• Abilene Eye Institute Lab
• Abilene Family and Cosmetic Dentistry, PLLC
• Abilene Family Counseling
• Abilene Family Foot Center, P.a.
• Abilene Family Health Care, P.a.
• Abilene Family Medical Associates LLP
• Abilene Family Medical Clinic, LLC
• Abilene Footcare Associates

• All providers in Abilene, TX
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.