Organization Name: | DAVID M. GARRETT D.D.S.,INC. |
NPI Number: | 1750666509 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JATHEN D. GARRETT (PRESIDENT) |
Mailing Address: | 5711 39th St Groves |
State: | TX US |
Postal Code: | 776193613 |
Phone Number: | 4099621964 |
Fax Number: | 4099626445 |
NPI Enumeration Date: | 10/12/2011 |
NPI Last Update Date: | 04/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |