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Clayton A Gautreaux D.d.s
Pediatric Dentist in Mabank, Texas
NPI 1043549603

Clayton A Gautreaux D.d.s is a Pediatric Dentist based in Mabank, TX and is specialized in Pediatric Dentistry. Clayton A Gautreaux D.d.s practices in Mabank, TX. The NPI Number for Clayton A Gautreaux D.d.s is 1043549603 and holds a License No. 12190 (Texas).

The current practice location address for Clayton A Gautreaux D.d.s is 302 N 3Rd St, Mabank, TX and can be reached out via phone at 903-887-4405.

Location: 302 N 3Rd St, Mabank, TX, 75147-8611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043549603
Provider Name
Clayton A Gautreaux D.d.s
Credential
Provider Entity Type
Organization
Address
302 N 3Rd St, Mabank, TX, 75147-8611
Phone Number
903-887-4405
Fax Number
Provider Enumeration Date
12/10/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14921 05 TX
12190 05 TX
23280 05 TX
institution
Provider Business Practice Location Address Details
Address
302 N 3Rd St
City
Mabank
State
Texas
Zip
75147-8611
Phone Number
903-887-4405
Fax Number
person
Provider Business Mailing Address Details
Address
302 N 3Rd St
City
Mabank
State
Texas
Zip
75147-8611
Phone Number
903-887-4405
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
23280 (Texas)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
12190 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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