| Bobby Jivnani Dds Pa | |
|
1200 Coit Road Ste 100 Plano TX 75075 | |
| (972) 690-1235 | |
| (972) 767-1904 |
| Full Name | Bobby Jivnani Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 1200 Coit Road Ste 100, Plano, Texas |
| Authorized Official Name and Position | Bobby Jivnani (CEO) |
| Authorized Official Contact | 9726901235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bobby Jivnani Dds Pa 1200 Coit Road Ste 100 Plano TX 75075 Ph: (972) 690-1235 | Bobby Jivnani Dds Pa 1200 Coit Road Ste 100 Plano TX 75075 Ph: (972) 690-1235 |
| NPI Number | 1336236934 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 07/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336236934 | NPI | - | NPPES |
| 158482302 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21255 (Texas) | Primary |
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