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JAE DENTAL PLLC NPI 1265987598


NPI Information

NPI: 1265987598
Provider Name: JAE DENTAL PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
201 S ROGERS RD
IRVING, TX
ZIP 75060
Phone: (817) 710-7443
Get Directions

JAE DENTAL PLLC is a general practice dentist in Irving, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JAE DENTAL PLLC NPI is 1265987598. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

201 S ROGERS RD
IRVING, TX
ZIP 75060-608
Phone: (817) 710-7443
Fax: (817) 710-1447

The provider's authorized official is Jason Troy Bacon .
The authorized official title is Owner and has the following contact phone number (817) 710-7443.

The enumeration date for this NPI number is 8/16/2016 and was last updated on 8/16/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice24381TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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