Provider Demographics
NPI:1942386321
Name:FLANAGAN, EUGENE PATRICK JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:PATRICK
Last Name:FLANAGAN
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1827 SW GREEN OAKS BLVD
Mailing Address - Street 2:SUITE 169
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-7928
Mailing Address - Country:US
Mailing Address - Phone:817-468-8600
Mailing Address - Fax:817-419-9791
Practice Address - Street 1:1827 SW GREEN OAKS BLVD
Practice Address - Street 2:SUITE 169
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-7928
Practice Address - Country:US
Practice Address - Phone:817-468-8600
Practice Address - Fax:817-419-9791
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX130811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice