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JEFFERSON DENTAL CLINICS
NPI 1053775890
Dentist - General Practice in Dallas, TX

Active since April 07, 2016
5334 ROSS AVE, STE. 800, DALLAS, TX 75206(214) 841-4200(214) 823-8651 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jefferson Dental Clinics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON DENTAL CLINICS (NPI 1053775890) is a healthcare organization registered as a general practice in Dallas, Texas and active in the NPI registry since April 2016. The organization lists Tiffanie N Smith, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1053775890
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJDC HEALTHCARE MANAGEMENT , PLLC
Location Address5334 ROSS AVE, STE. 800Dallas, TX 75206-7453
Mailing Address3030 Lbj Fwy, Suite 1400Dallas, TX 75234-7781 · (972) 444-8888 · Fax (972) 243-6059
Phone(214) 841-4200
Fax(214) 823-8651
Organization SubpartNo
Authorized OfficialTiffanie N SmithCredentialing Manager · (469) 658-8979
Enumeration DateApril 7, 2016
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1053775890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 31642
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 31642 (TX)
5334 ROSS AVE, Dallas, TX 75206
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Other Names 1

Doing Business AsJefferson Dental Clinics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MODESTO ARAGON MD
Pediatrics
5334 ROSS AVE, SUITE 900
DALLAS, TX 75206
Dallas County (214) 884-1584

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jdc Healthcare Management , PLLC's NPI number?

The NPI number for Jdc Healthcare Management , PLLC is 1053775890. It was assigned to this organization in the NPPES registry on April 7, 2016.

Where is Jdc Healthcare Management , PLLC located?

Jdc Healthcare Management , PLLC is located at 5334 Ross Ave Ste. 800, Dallas, TX 75206. The listed phone number is (214) 841-4200.

What is Jdc Healthcare Management , PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jdc Healthcare Management , PLLC was last updated on March 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.