Individual
DR. JONATHAN ALEXANDER MCNAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2300 WOLFLIN AVE, AMARILLO, TX 79109-1832
(806) 381-3113
Mailing address
2300 WOLFLIN AVE, AMARILLO, TX 79109-1832
(228) 219-9601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3884-16
MS
1223P0221X
Pediatric Dentistry
Primary
35784
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409187801
—
TX
Enumeration date
07/11/2016
Last updated
08/23/2022
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