Provider Demographics
NPI:1245681782
Name:AUSTIN L. TEMPLE, III, DDS, PA
Entity type:Organization
Organization Name:AUSTIN L. TEMPLE, III, DDS, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:TEMPLE
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-971-8339
Mailing Address - Street 1:PO BOX 1047
Mailing Address - Street 2:
Mailing Address - City:KING
Mailing Address - State:NC
Mailing Address - Zip Code:27021-1047
Mailing Address - Country:US
Mailing Address - Phone:336-983-4565
Mailing Address - Fax:866-703-9984
Practice Address - Street 1:626 KIRBY RD
Practice Address - Street 2:
Practice Address - City:KING
Practice Address - State:NC
Practice Address - Zip Code:27021-9496
Practice Address - Country:US
Practice Address - Phone:336-983-4565
Practice Address - Fax:866-703-9984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6178261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental