Healthcare Provider Details

I. General information

NPI: 1750666509
Provider Name (Legal Business Name): DAVID M GARRETT, DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2011
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5711 39TH ST
GROVES TX
77619-3613
US

IV. Provider business mailing address

5711 39TH ST
GROVES TX
77619-3613
US

V. Phone/Fax

Practice location:
  • Phone: 409-962-1964
  • Fax: 409-962-6445
Mailing address:
  • Phone: 409-962-1964
  • Fax: 409-962-6445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. JATHEN D. GARRETT
Title or Position: PRESIDENT
Credential: D.D.S.
Phone: 409-962-1964