CLAYTON A GAUTREAUX D.D.S
NPI 1043549603
Dentist - General Practice in Mabank, TX

Active since December 10, 2009
302 N 3RD ST, MABANK, TX 75147(903) 887-4405 Get Directions Write a Review

NPPES record last updated: December 10, 2009. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Clayton A Gautreaux D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLAYTON A GAUTREAUX D.D.S (NPI 1043549603) is a healthcare organization registered as a general practice in Mabank, Texas and active in the NPI registry since December 2009. The organization lists Gena D Passons, Dental Assistant, as its authorized official.

NPPES Registry Identity

NPI1043549603
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLAYTON A GAUTREAUX D.D.S
Location Address302 N 3RD STMabank, TX 75147-8611
Mailing Address302 N 3rd StMabank, TX 75147-8611 · (903) 887-4405
Organization SubpartNo
Authorized OfficialGena D PassonsDental Assistant · (903) 887-4405
Enumeration DateDecember 10, 2009
NPI 1043549603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in TX · 12190 Licensed in TX · 23280
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.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 14921 (TX)
302 N 3RD ST, Mabank, TX 75147

Other Identifiers 3

Medicaid12190TX
Medicaid23280TX
Medicaid14921TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
302 N 3RD ST
MABANK, TX 75147
Dentist (General Practice)
302 N 3RD ST
MABANK, TX 75147
Dentist
302 N 3RD ST
MABANK, TX 75147
Dentist
302 N 3RD ST
MABANK, TX 75147
Dentist (General Practice)
302 N 3RD ST
MABANK, TX 75147

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clayton A Gautreaux D.D.S's NPI number?

The NPI number for Clayton A Gautreaux D.D.S is 1043549603. It was assigned to this organization in the NPPES registry on December 10, 2009.

Where is Clayton A Gautreaux D.D.S located?

Clayton A Gautreaux D.D.S is located at 302 N 3rd St, Mabank, TX 75147. The listed phone number is (903) 887-4405.

What is Clayton A Gautreaux D.D.S's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Clayton A Gautreaux D.D.S was last updated on December 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.