MEDICARE: DR. EUGENE PATRICK FLANAGAN JR. DDS

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	13081	TX

General Provider Information

NPI Number	:	1942386321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUGENE PATRICK FLANAGAN JR. DDS

Provider Business Mailing Address
First Line	:	1827 SW GREEN OAKS BLVD
Second Line	:	SUITE 169
City	:	ARLINGTON
State	:	TX
Zip	:	76017-7928
Country	:	US
Telephone Number	:	817-468-8600
Fax Number	:	817-419-9791

Provider Business Practice Location Address
First Line	:	1827 SW GREEN OAKS BLVD
Second Line	:	SUITE 169
City	:	ARLINGTON
State	:	TX
Zip	:	76017-7928
Country	:	US
Telephone Number	:	817-468-8600
Fax Number	:	817-419-9791

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

Provider Enumeration Date	:	10/28/2006
Last Update Date	:	07/08/2007

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