Individual
JAY CASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3210 RICHMOND RD, TEXARKANA, TX 75503
(903) 832-3146
(903) 838-2579
Mailing address
3210 RICHMOND RD, TEXARKANA, TX 75503-0702
(903) 832-3146
(903) 838-2579
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33979
TX
1223G0001X
General Practice Dentistry
4175
AR
Other
Enumeration date
06/18/2017
Last updated
07/23/2018
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