Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
JET DENTAL OF TEXAS, PLLC
Active
Organization
JET DENTAL OF TEXAS, PLLC
Active
Parent organization
JET MANAGEMENT SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JET MANAGEMENT SERVICES, LLC
Authorized official
DARRA THOMAS-DAVIS (PARALEGAL)
(801) 430-9262
Entity
Organization
Contact information
Practice address
200 N KIMBALL AVE STE 221, SOUTHLAKE, TX 76092-6660
(801) 430-9262
Mailing address
200 N KIMBALL AVE STE 221, SOUTHLAKE, TX 76092-6660
(801) 430-9262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up