Individual
DR. JEFFREY DEE FLEIGEL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D, M.S.
Contact information
Practice address
7200 N MOPAC EXPY, #215, AUSTIN, TX 78731-3069
(512) 345-6081
Mailing address
8602 SILVER RIDGE DR, AUSTIN, TX 78759-8145
(352) 362-5761
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN17200
FL
1223G0001X
General Practice Dentistry
DN17200
FL
1223P0700X
Prosthodontics
Primary
DN17200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006240700
—
FL
Enumeration date
05/18/2007
Last updated
10/02/2014
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