| Jy Dental, Pllc | |
|
4410 N Midkiff Rd Suite D-1 Midland TX 79705-4246 | |
| (432) 553-3886 | |
| Not Available |
| Full Name | Jy Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4410 N Midkiff Rd, Midland, Texas |
| Authorized Official Name and Position | Thomas Youngblood (OWNER) |
| Authorized Official Contact | 4325533886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jy Dental, Pllc 4410 N Midkiff Rd Suite D-1 Midland TX 79705-4246 Ph: () - | Jy Dental, Pllc 4410 N Midkiff Rd Suite D-1 Midland TX 79705-4246 Ph: (432) 553-3886 |
| NPI Number | 1790210904 |
|---|---|
| Provider Enumeration Date | 04/25/2017 |
| Last Update Date | 04/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790210904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21206 (Texas) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 25993 (Texas) | Secondary |
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