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NPI Code Detail

MEDICARE: M&M DENTAL PARTNERS PLLC

MEDICARE: M&M DENTAL PARTNERS PLLC
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
11223E0200XEndodontics29570TX
21223G0001XGeneral Practice Dentistry18724TX
31223G0001XGeneral Practice Dentistry29693TX
41223P0300XPeriodontics17812TX
51223G0001XGeneral Practice Dentistry28042TX

General Provider Information

NPI Number : 1386151926
Entity Type Code : Organization
Provider Name (Legal Business Name) : M&M DENTAL PARTNERS PLLC
Provider Business Mailing Address
First Line : 2443 S GALVESTON AVE
Second Line :
City : PEARLAND
State : TX
Zip : 77581-4222
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2443 S GALVESTON AVE
Second Line :
City : PEARLAND
State : TX
Zip : 77581-4222
Country : US
Telephone Number : 281-485-4829
Fax Number :
Authorized Official
Title or Position : DENTIST/OWNER
Name : DR. MICHAEL J MAHER
Credential : DDS
Telephone Number : 281-485-4829
Provider Enumeration Date : 01/04/2018
Last Update Date : 03/17/2018

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Directions to “M&M DENTAL PARTNERS PLLC ” Practice Location

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