# PANOLA DENTAL, PLLC

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

## Provider details

- **NPI number:** 1285326371
- **Authorized official:** DR. BRENT STEPHENS (DENTIST)
- **Authorized official phone:** (936) 462-0725

## Contact information

- **Practice address:** 4188 NW LOOP, CARTHAGE, TX 75633-2255
- **Practice address phone:** (903) 508-5762
- **Mailing address:** 3025 COUNTY ROAD 509, NACOGDOCHES, TX 75961-7849

## Taxonomy

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

## Other

- **Enumeration date:** 05/25/2023
- **Last updated:** 05/25/2023