Healthcare Provider Details

I. General information

NPI: 1669130498
Provider Name (Legal Business Name): HMDG, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2021
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 N 10TH ST STE 204
SANGER TX
76266-4241
US

IV. Provider business mailing address

617 N 10TH ST STE 204
SANGER TX
76266-4241
US

V. Phone/Fax

Practice location:
  • Phone: 940-458-9000
  • Fax: 940-958-9001
Mailing address:
  • Phone: 940-458-9000
  • Fax: 940-458-9001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ABDUL JABBAR KHAN
Title or Position: DENTIST/OWNER
Credential: DMD
Phone: 470-272-4607