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FURQUERON & JACKSON DENTISTRY PARTNERSHIP NPI 1780992586


NPI Information

NPI: 1780992586
Provider Name: FURQUERON & JACKSON DENTISTRY PARTNERSHIP

Doing Business As: HENDERSON FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1910 STATE HWY 43 EAST
HENDERSON, TX
ZIP 75652
Phone: (903) 657-3139
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FURQUERON & JACKSON DENTISTRY PARTNERSHIP is a general practice dentist in Henderson, 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. FURQUERON & JACKSON DENTISTRY PARTNERSHIP NPI is 1780992586. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Henderson Family Dentistry.

The provider's business location address is:

1910 STATE HWY 43 EAST
HENDERSON, TX
ZIP 75652
Phone: (903) 657-3139
Fax: (903) 655-0699

The provider's authorized official is Brian C Jackson .
The authorized official title is Owner/partner and has the following contact phone number (903) 657-3139.

The enumeration date for this NPI number is 9/15/2010 and was last updated on 6/4/2012.


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 Practice19316TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1194671701MEDICAIDTEXAS
20901829-07MEDICAIDTEXAS
30901829-02MEDICAIDTEXAS
41946717-07MEDICAIDTEXAS

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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