| Magnolia Dental Gps PLLC | |
|
507 N 3rd St Mabank TX 75147-8328 | |
| (903) 829-4664 | |
| Not Available |
| Full Name | Magnolia Dental Gps PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 507 N 3rd St, Mabank, Texas |
| Authorized Official Name and Position | William Little (CO-OWNER) |
| Authorized Official Contact | 8702434406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Dental Gps PLLC 100 E Huntington Ave Ste E Jonesboro AR 72401-2900 | Magnolia Dental Gps PLLC 507 N 3rd St Mabank TX 75147-8328 Ph: (903) 829-4664 |
| NPI Number | 1366160228 |
|---|---|
| Provider Enumeration Date | 08/17/2022 |
| Last Update Date | 08/17/2022 |
| Certification Date | 08/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366160228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
Mabank Family Dentistry PLLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 N 3rd St, Mabank, TX 75147 Phone: 903-887-4405 |
Clayton a Gautreaux D.d.s Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 N 3rd St, Mabank, TX 75147 Phone: 903-887-4405 |
Magnolia Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 N 3rd St, Mabank, TX 75147 Phone: 903-603-4406 Fax: 903-201-6787 |