Provider Demographics
NPI:1457788739
Name:DAVID TEMPLETON DDS, PC
Entity Type:Organization
Organization Name:DAVID TEMPLETON DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:TEMPLETON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:423-967-1177
Mailing Address - Street 1:PO BOX 30
Mailing Address - Street 2:
Mailing Address - City:WISE
Mailing Address - State:VA
Mailing Address - Zip Code:24293-0030
Mailing Address - Country:US
Mailing Address - Phone:276-328-5291
Mailing Address - Fax:276-328-2539
Practice Address - Street 1:106 WATER ST
Practice Address - Street 2:
Practice Address - City:WISE
Practice Address - State:VA
Practice Address - Zip Code:24293-7621
Practice Address - Country:US
Practice Address - Phone:276-328-5291
Practice Address - Fax:276-328-2539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-02
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401005438122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty