# DOWNTOWN DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679802714
- **Authorized official:** STACEY JACOBS D.D.S. (OWNER/PRESIDENT)
- **Authorized official phone:** (830) 426-2444

## Contact information

- **Practice address:** 1104 18TH ST, HONDO, TX 78861-1833
- **Practice address phone:** (830) 426-2444
- **Mailing address:** 1104 18TH ST, HONDO, TX 78861-1833
- **Mailing address phone:** (830) 426-2444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | TX | Yes |

## Other

- **Enumeration date:** 12/21/2009
- **Last updated:** 12/21/2009