| Jefferson Dental Clinics | |
|
5334 Ross Ave Ste. 800 Dallas TX 75206-7453 | |
| (214) 841-4200 | |
| (214) 823-8651 |
| Full Name | Jefferson Dental Clinics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5334 Ross Ave, Dallas, Texas |
| Authorized Official Name and Position | Tiffanie N Smith (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4696588979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Dental Clinics 3030 Lbj Fwy Suite 1400 Dallas TX 75234-7781 Ph: (972) 444-8888 | Jefferson Dental Clinics 5334 Ross Ave Ste. 800 Dallas TX 75206-7453 Ph: (214) 841-4200 |
| NPI Number | 1053775890 |
|---|---|
| Provider Enumeration Date | 04/07/2016 |
| Last Update Date | 03/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053775890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 31642 (Texas) | Secondary |
| 1223G0001X | Dentist - General Practice | 31642 (Texas) | Primary |
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