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NPI 1306992029

NPI 1306992029 : DAVID M MCGAFFIN DDS PA : ROCKWALL, TX

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General NPI Number Information
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    NPI Number           |    1306992029
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    Entity Type          |    Organization 
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    Legal Business Name  |    DAVID M MCGAFFIN DDS PA 
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Dates
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    Enumeration Date     |    01/26/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    5727 FM 3097(HORIZON RD.) 
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    City                 |    ROCKWALL
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    State                |    TX
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    Zip                  |    75032-7786
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    Country              |    US
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    Telephone            |    972-772-1808
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5727 FM 3097(HORIZON RD.) 
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    City                 |    ROCKWALL
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    State                |    TX
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    Zip                  |    75032-7786
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    Country              |    US
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    Telephone            |    972-772-1808
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNERPRESIDENT
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    Name                 |    DR. DAVID MICHAEL MCGAFFIN 
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    Credential           |    DDS
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    Telephone            |    972-772-1808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    19722
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    License Number State |    TX
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