MAGNOLIA DENTAL
NPI 1699277228
Clinic/Center - Dental in Mabank, TX

Active since February 28, 2018
507 N 3RD ST, MABANK, TX 75147(903) 603-4406(903) 201-6787 Get Directions Write a Review

NPPES record last updated: February 28, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Dental

About MAGNOLIA DENTAL

This page provides the complete NPI Profile along with additional information for Magnolia Dental, a provider established in Mabank, Texas operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1699277228 assigned on February 2018. The practitioner's primary taxonomy code is 261QD0000X with license number 22174 (TX). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Dr. Gerard Thomas Macy Dds (Dentist)

NPI
1699277228 Verify this NPI
Provider Name
MAGNOLIA DENTAL
Entity Type
Organization
Location Address
507 N 3RD ST MABANK, TX 75147
Location Phone
(903) 603-4406
Location Fax
(903) 201-6787
Mailing Address
507 N 3RD ST MABANK, TX 75147
Mailing Phone
(903) 603-4406
Mailing Fax
(903) 201-6787
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2018
Last Update Date
02-28-2018
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
22174
License State
TX

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GERARD THOMAS MACY DDS

Authorized Official Title
DENTIST
Authorized Official Phone
(903) 603-4406

Reviews for MAGNOLIA DENTAL

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist
507 N 3RD ST
MABANK, TX 75147
Dentist
507 N 3RD ST
MABANK, TX 75147
Dentist (General Practice)
507 N 3RD ST
MABANK, TX 75147
Clinic/Center (Dental)
507 N 3RD ST
MABANK, TX 75147

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699277228, enumerated as an "organization" on February 28, 2018.

The provider is located at 507 N 3RD ST MABANK, TX 75147 and the phone number is (903) 603-4406.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.