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Organization
JDC HEALTHCARE MANAGEMENT , PLLC
Active
Organization
JDC HEALTHCARE MANAGEMENT , PLLC
Active
Other names
Jefferson Dental Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANIE N SMITH (CREDENTIALING MANAGER)
(469) 658-8979
Entity
Organization
Contact information
Practice address
5334 ROSS AVE, STE. 800, DALLAS, TX 75206-7453
(214) 841-4200
(214) 823-8651
Mailing address
3030 LBJ FWY, SUITE 1400, DALLAS, TX 75234-7781
(972) 444-8888
(972) 243-6059
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
31642
TX
1223G0001X
General Practice Dentistry
Primary
31642
TX
Other
Enumeration date
04/07/2016
Last updated
03/18/2024
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