Jathen David Garrett, D.D.S.

Individual provider Active NPI General Practice Dentistry · Groves, TX

NPI 1487742847 · NPPES record last updated Jul 7, 2025

Key facts

NPI
1487742847
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
19459-7 (TX)
Practice address
5711 39TH St
Groves, TX 77619-3613
Phone
(409) 962-1964
Fax
(409) 962-6445
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
19459-7TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David M Garrett, DDS Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19459-7 TX Yes

Addresses

Primary practice location

5711 39TH St
Groves, TX 77619-3613

Mailing address

5711 39TH St
Groves, TX 77619-3613
Phone (409) 962-1964

Other providers in Groves, TX

All providers in Groves, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.