Provider Demographics
NPI:1437260429
Name:MARYE, GEORGE ROBERT III (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ROBERT
Last Name:MARYE
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2652 FM 407 E
Mailing Address - Street 2:SUITE 240
Mailing Address - City:BARTONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-7018
Mailing Address - Country:US
Mailing Address - Phone:940-455-2252
Mailing Address - Fax:
Practice Address - Street 1:2652 FM 407 E
Practice Address - Street 2:SUITE 240
Practice Address - City:BARTONVILLE
Practice Address - State:TX
Practice Address - Zip Code:76226-7018
Practice Address - Country:US
Practice Address - Phone:940-455-2252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX200831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice