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MAGRUDER NPI 1164801544


NPI Information

NPI: 1164801544
Provider Name: MAGRUDER
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3314 AVENUE O
GALVESTON, TX
ZIP 77550
Phone: (409) 762-4522
Get Directions

MAGRUDER is a general practice dentist in Galveston, TX. The provider is 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. MAGRUDER NPI is 1164801544. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3314 AVENUE O
GALVESTON, TX
ZIP 77550-712
Phone: (409) 762-4522

The provider's authorized official is Jeremy Magruder .
The authorized official title is Owner and has the following contact phone number (409) 762-4522.

The enumeration date for this NPI number is 5/19/2015 and was last updated on 5/19/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice11659TEXASNo
21223G0001XDentistGeneral Practice25665TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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