| J.michael Hatchett, Dds, Pc Mark Allan Thompson, Dds, Pc | |
|
408 Wynn Dr Jacksonville TX 75766-4976 | |
| (903) 586-6829 | |
| (903) 589-6801 |
| Full Name | J.michael Hatchett, Dds, Pc Mark Allan Thompson, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 408 Wynn Dr, Jacksonville, Texas |
| Authorized Official Name and Position | Mark Allan Thompson (OWNER) |
| Authorized Official Contact | 9035866829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J.michael Hatchett, Dds, Pc Mark Allan Thompson, Dds, Pc 408 Wynn Dr Jacksonville TX 75766-4976 Ph: (903) 586-6829 | J.michael Hatchett, Dds, Pc Mark Allan Thompson, Dds, Pc 408 Wynn Dr Jacksonville TX 75766-4976 Ph: (903) 586-6829 |
| NPI Number | 1679855852 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 09/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679855852 | NPI | - | NPPES |
| 1457458960 | Other | TX | INDIVIDUAL NPI |
| 008650601 | Medicaid | TX | |
| 008274501 | Medicaid | TX | |
| 1881776912 | Other | TX | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12843 (Texas) | Primary |
| 122300000X | Dentist | 12913 (Texas) | Secondary |
Culberson R Boren Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1634 S Jackson St, Jacksonville, TX 75766 Phone: 903-581-2198 Fax: 903-581-9571 | |
Family & Cosmetic Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2110 E Rusk St, Jacksonville, TX 75766 Phone: 903-586-0741 Fax: 903-586-0649 | |
Jacksonville Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Brookside Dr, Jacksonville, TX 75766 Phone: 903-586-1551 Fax: 903-586-1552 | |
Hatchett And Thompson Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 Wynn Dr, Jacksonville, TX 75766 Phone: 903-586-6829 | |
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