Organization
JHB DENTAL ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNE HANSEN BAYLESS D.D.S. (PRESIDENT)
(325) 672-5988
Entity
Organization
Contact information
Practice address
2002 SUMMERS ST, ABILENE, TX 79603-1936
(325) 672-5988
(325) 672-5988
Mailing address
250 BELTWAY N, ABILENE, TX 79601-8106
(325) 672-5988
(325) 672-5988
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12014
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568507887
—
TX
Enumeration date
03/30/2009
Last updated
03/30/2009
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