# JACOB A RENDON, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Matthews Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316736879
- **Authorized official:** DR. JACOB ALEXANDER RENDON DDS (PRESIDENT)
- **Authorized official phone:** (806) 206-1339

## Contact information

- **Practice address:** 1509 EMERALD PKWY STE 105, COLLEGE STATION, TX 77845-5502
- **Practice address phone:** (979) 696-8681
- **Mailing address:** 1509 EMERALD PKWY STE 105, COLLEGE STATION, TX 77845-5502
- **Mailing address phone:** (979) 696-8681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/01/2025
- **Last updated:** 05/01/2025