| Organization Name: | DONALD G. TRAXLER, D.M.D., P.A. |
| NPI Number: | 1578626966 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD G TRAXLER (PRESIDENT) |
| Mailing Address: | 303a S Archusa Ave Quitman |
| State: | MS US |
| Postal Code: | 393552325 |
| Phone Number: | 6017766630 |
| Fax Number: | 6017763825 |
| NPI Enumeration Date: | 12/18/2006 |
| NPI Last Update Date: | 06/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 185679 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |