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PDC KENDALL GENGEL DUDLEY GARRISON LLC
NPI 1265379416
Dentist - General Practice in Garrison, TX

Active since May 04, 2026

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Pdc Kendall Gengel Dudley Garrison Llc NPPES

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

PDC KENDALL GENGEL DUDLEY GARRISON LLC (NPI 1265379416) is a healthcare organization registered as a general practice in Garrison, Texas and active in the NPI registry since May 2026. The organization lists Amber Hallum, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1265379416
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePDC KENDALL GENGEL DUDLEY GARRISON LLC
Location Address580 US-59Garrison, TX 75946
Mailing Address4354 Pines RdShreveport, LA 71119-7738 · (800) 235-1732
Phone(800) 235-1732
Organization SubpartNo
Authorized OfficialAmber HallumOffice Manager · (800) 235-1732
Enumeration DateMay 4, 2026
NPPES CertifiedApril 28, 2026
✔ NPI 1265379416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
580 US-59, Garrison, TX 75946
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Pdc Kendall Gengel Dudley Garrison LLC's NPI number?

The NPI number for Pdc Kendall Gengel Dudley Garrison LLC is 1265379416. It was assigned to this organization in the NPPES registry on May 4, 2026.

Where is Pdc Kendall Gengel Dudley Garrison LLC located?

Pdc Kendall Gengel Dudley Garrison LLC is located at 580 Us-59, Garrison, TX 75946. The listed phone number is (800) 235-1732.

What is Pdc Kendall Gengel Dudley Garrison LLC'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 Pdc Kendall Gengel Dudley Garrison LLC was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.