# MICHAEL BAILEY DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164241337
- **Authorized official:** DR. MICHAEL BAILEY DDS (OWNER DENTIST)
- **Authorized official phone:** (936) 366-0789

## Contact information

- **Practice address:** 12501 CANYON FALLS BLVD, WILLIS, TX 77318-5825
- **Practice address phone:** (936) 931-4462
- **Mailing address:** 12501 CANYON FALLS BLVD, WILLIS, TX 77318-5825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2024
- **Last updated:** 10/05/2024