| Gainesville Family Dentistry, Pc | |
|
212 S Grand Ave Gainesville TX 76240-5013 | |
| (940) 665-4761 | |
| Not Available |
| Full Name | Gainesville Family Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 212 S Grand Ave, Gainesville, Texas |
| Authorized Official Name and Position | Matthew Tom Record (OWNER/PRESIDENT) |
| Authorized Official Contact | 9406654761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gainesville Family Dentistry, Pc 212 S Grand Ave Gainesville TX 76240-5013 Ph: (940) 665-4761 | Gainesville Family Dentistry, Pc 212 S Grand Ave Gainesville TX 76240-5013 Ph: (940) 665-4761 |
| NPI Number | 1881914679 |
|---|---|
| Provider Enumeration Date | 06/03/2010 |
| Last Update Date | 06/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881914679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19728 (Texas) | Primary |
| 1223G0001X | Dentist - General Practice | 22036 (Texas) | Secondary |
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