MEDICARE: DR. PRESTON CUTBIRTH D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	16417	TX

General Provider Information

NPI Number	:	1215148184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRESTON CUTBIRTH D.D.S.

Provider Business Mailing Address
First Line	:	31603 PIN OAK ST
Second Line	:
City	:	MAGNOLIA
State	:	TX
Zip	:	77355-1607
Country	:	US
Telephone Number	:	281-356-3721
Fax Number	:	281-356-3778

Provider Business Practice Location Address
First Line	:	827 MAGNOLIA BLVD
Second Line	:	SUITE 1
City	:	MAGNOLIA
State	:	TX
Zip	:	77355-8602
Country	:	US
Telephone Number	:	281-356-3721
Fax Number	:	281-356-3778

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. PRESTON CUTBIRTH D.D.S.” Practice Location

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