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Organization

JAY J CASTLE DDS PLLC

Active
Other names
Castle Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAY JEFFERY CASTLE DDS (OWNER)
(903) 824-4321
Entity
Organization

Contact information

Practice address
3210 RICHMOND RD, TEXARKANA, TX 75503-0702
(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
261QD0000X
Dental Clinic/Center
Primary
33979
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1194868513
NPI
01
1508396037
NPI
Enumeration date
07/23/2018
Last updated
07/23/2018
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