Organization
JET DENTAL OF SAN ANTONIO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DANE JOHNSON DDS, INC. (OWNER)
(801) 592-8829
Entity
Organization
Contact information
Practice address
1 LONE STAR PASS STE 46, SAN ANTONIO, TX 78264-3650
(801) 430-9262
Mailing address
1 LONE STAR PASS STE 46, SAN ANTONIO, TX 78264-3650
(801) 430-9262
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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