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JDC HEALTHCARE MANAGEMENT PLLC NPI 1053775890


NPI Information

NPI: 1053775890
Provider Name: JDC HEALTHCARE MANAGEMENT , PLLC

Doing Business As: JEFFERSON DENTAL CLINICS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5334 ROSS AVE
STE. 800
DALLAS, TX
ZIP 75206
Phone: (214) 841-4200
Get Directions

JDC HEALTHCARE MANAGEMENT , PLLC is a general practice dentist in Dallas, 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. JDC HEALTHCARE MANAGEMENT , PLLC NPI is 1053775890. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Jefferson Dental Clinics.

The provider's business location address is:

5334 ROSS AVE
STE. 800
DALLAS, TX
ZIP 75206-453
Phone: (214) 841-4200
Fax: (214) 823-8651

The provider's authorized official is Tiffanie N Smith .
The authorized official title is Credentialing Manager and has the following contact phone number (469) 658-8979.

The enumeration date for this NPI number is 4/7/2016 and was last updated on 3/18/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist31642TEXASNo
21223G0001XDentistGeneral Practice31642TEXASYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.