MAGNOLIA DENTAL (NPI# 1699277228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699277228 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA DENTAL |
| Practice Address |
507 N 3rd St Mabank TX 75147-8328 |
| Practice Telephone | 9036034406 |
| Practice Fax Number | 9032016787 |
| Mailing Telephone | 9036034406 |
| Mailing Fax Number | 9032016787 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |
| Authorized Official Name | DR. GERARD THOMAS MACY (DENTIST) |
| Authorized Official Telephone | 9036034406 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
22174 | TX | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558536706 | Magnolia Dental | Dentist | 9625 Westview Dr, Coral Springs, FL 33076-2513 | 2008-04-29 |
| 1689183642 | Magnolia Dental | Dentist | 3801 S Hurstbourne Pkwy, Louisville, KY 40299-7319 | 2017-09-21 |
| 1508218876 | Magnolia Dental | Clinic/Center | 119 W Antrim Dr, Greenville, SC 29607-2505 | 2016-07-11 |
| 1104134881 | Magnolia Dental | Dentist | 11 Medical Dr, Chillicothe, OH 45601-8603 | 2010-09-16 |
| 1497912661 | Magnolia Dental | Dentist | 6758 Mccart Ave, Fort Worth, TX 76133-6357 | 2008-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Magnolia Dental Corporation P.C. | 400 South Magnolia Avenue, Waynesboro, Virginia 22980 |
| Street Address |
507 N 3RD ST |
| City | MABANK |
| State | TX |
| Zip Code | 75147-8328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972693976 | Gerard Thomas Macy | Dentist | 507 N 3rd St, Mabank, TX 75147-8328 | 2006-10-13 |
| 1356902357 | Emilee Dudley | Dentist | 507 N 3rd St, Mabank, TX 75147-8328 | 2019-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626868 | Givens Some Love Day Habilitation Center | Clinic/Center | 301 Sth 7th Street, Mabank, TX 75147 | 2020-07-17 |
| 1194286690 | Helle Na Lauersen | Registered Nurse | 794 Vz Cr 2810, Mabank, TX 75147 | 2019-03-27 |
| 1275720575 | Assisted Living Concepts Inc | Assisted Living Facility | 322 East Main Street, Gun Barrel City, TX 75147 | 2007-10-01 |
| 1780707810 | Mabank Isd | Local Education Agency (LEA) | 124 E. Market, Mabank, TX 75147 | 2007-04-06 |
| 1689799470 | The Neutral Zone | Social Worker | 114 S. Old Gun Berral Lane, Suite 1 The Neutral Zone, Gun Berral City, TX 75147 | 2007-03-20 |
| 1598827834 | Donald C Peele | Chiropractor | 2518 West Main Street, Gun Barrel City, TX 75147 | 2006-12-14 |
| 1053479162 | Lori Jean Rochelle Schreiber Gautreaux | Chiropractor | 302 N Third Street, Mabank, TX 75147 | 2006-12-04 |
| 1932289642 | Mabank Medical Center,inc. | Internal Medicine | 802 W Mason, Mabank, TX 75147 | 2006-10-17 |
| 1710903851 | Gaddis Chiropractic PC | Chiropractor | 1204 S Third St, Ste 102, Mabank, TX 75147 | 2006-07-14 |
| 1255365946 | Eunice Nadine Hall | Nursing Facility/Intermediate Care Facility | 110 W Troupe, Mabank, TX 75147 | 2006-07-10 |
| Find all providers in zip 75147 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053587 | David Cheng, Pllc | Clinic/Center | 1708 Spring Green Blvd Ste 195, Katy, TX 77494-7462 | 2020-11-04 |
| 1710587431 | Mysa Dental Pllc | Clinic/Center | 13762 Potranco Rd, Suite 400, San Antonio, TX 78253 | 2020-10-30 |
| 1952901753 | Hq Dental Design | Clinic/Center | 3011 Dawn Dr Ste 105, Georgetown, TX 78628-2827 | 2020-10-29 |
| 1821698788 | All About Smiles Pllc | Clinic/Center | 6420 N Macarthur Blvd Ste 120, Irving, TX 75039-2838 | 2020-10-29 |
| 1659971901 | Qs Dental Partners Pllc | Clinic/Center | 7109 Katy Gaston Road, Suite 400, Richmond, TX 77406 | 2020-10-27 |
| 1154920023 | Deja Opusunju Dmd Pllc | Clinic/Center | 25031 Westheimer Pkwy Ste 200, Katy, TX 77494-7317 | 2020-10-22 |
| 1639776040 | Usck Pllc | Clinic/Center | 7598 N Mesa St Ste 208, El Paso, TX 79912-3521 | 2020-10-08 |
| 1962009373 | Woodforest Dental Loft | Clinic/Center | 2300 Woodforest Pkwy N Ste 700, Montgomery, TX 77316-6503 | 2020-10-08 |
| 1932706173 | Crossway Dental Care Pllc | Clinic/Center | 16616 San Pedro Ave, San Antonio, TX 78232-2223 | 2020-10-01 |
| 1184230302 | Mi Dentista | Clinic/Center | 3101 W Davis St, Dallas, TX 75211-2921 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.