Jhb Dental Enterprises, Inc. | |
2002 Summers St Abilene TX 79603-1936 | |
(325) 672-5988 | |
(325) 672-5988 |
Full Name | Jhb Dental Enterprises, Inc. |
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Speciality | Clinic/center - Dental |
Location | 2002 Summers St, Abilene, Texas |
Authorized Official Name and Position | Jeanne Hansen Bayless (PRESIDENT) |
Authorized Official Contact | 3256725988 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jhb Dental Enterprises, Inc. 250 Beltway N Abilene TX 79601-8106 Ph: (325) 672-5988 | Jhb Dental Enterprises, Inc. 2002 Summers St Abilene TX 79603-1936 Ph: (325) 672-5988 |
NPI Number | 1326280850 |
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Provider Enumeration Date | 03/30/2009 |
Last Update Date | 03/30/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326280850 | NPI | - | NPPES |
1568507887 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 12014 (Texas) | Primary |
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