| Magnolia Dental | |
|
507 N 3rd St Mabank TX 75147-8328 | |
| (903) 603-4406 | |
| (903) 201-6787 |
| Full Name | Magnolia Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 507 N 3rd St, Mabank, Texas |
| Authorized Official Name and Position | Gerard Thomas Macy (DENTIST) |
| Authorized Official Contact | 9036034406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Dental 507 N 3rd St Mabank TX 75147-8328 Ph: (903) 603-4406 | Magnolia Dental 507 N 3rd St Mabank TX 75147-8328 Ph: (903) 603-4406 |
| NPI Number | 1699277228 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 02/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699277228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22174 (Texas) | 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 Gps Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 N 3rd St, Mabank, TX 75147 Phone: 903-829-4664 |