Provider Demographics
NPI:1184992588
Name:SLAUGHTER, QUINTON DEWAYNE (DDS, MD)
Entity type:Individual
Prefix:DR
First Name:QUINTON
Middle Name:DEWAYNE
Last Name:SLAUGHTER
Suffix:
Gender:M
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1741 N HIGHWAY 67 STE 100
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-2493
Mailing Address - Country:US
Mailing Address - Phone:469-649-8259
Mailing Address - Fax:469-649-8256
Practice Address - Street 1:1741 N HIGHWAY 67 STE 100
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-2493
Practice Address - Country:US
Practice Address - Phone:469-649-8259
Practice Address - Fax:469-649-8256
Is Sole Proprietor?:No
Enumeration Date:2011-12-13
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27501122300000X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist