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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JET DENTAL OF TEXAS, PLLC
NPI 1073445573
Dentist - General Practice in Southlake, TX

Active since June 01, 2026
200 N KIMBALL AVE STE 221, SOUTHLAKE, TX 76092(801) 430-9262 Get Directions Write a Review

NPPES record added: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jet Dental Of Texas, Pllc NPPES

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

JET DENTAL OF TEXAS, PLLC (NPI 1073445573) is a healthcare organization registered as a general practice in Southlake, Texas and active in the NPI registry since June 2026. The organization lists Darra Thomas-davis, Paralegal, as its authorized official.

NPPES Registry Identity

NPI1073445573
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJET DENTAL OF TEXAS, PLLC
Location Address200 N KIMBALL AVE STE 221Southlake, TX 76092-6660
Mailing Address200 N Kimball Ave Ste 221Southlake, TX 76092-6660 · (801) 430-9262
Phone(801) 430-9262
Organization SubpartYesParent: Jet Management Services, Llc
Authorized OfficialDarra Thomas-davisParalegal · (801) 430-9262
Enumeration DateJune 1, 2026
NPPES CertifiedMay 20, 2026
✔ NPI 1073445573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
200 N KIMBALL AVE STE 221, Southlake, TX 76092
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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 SINGLE SPECIALTY GROUP

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 Jet Dental Of Texas, PLLC's NPI number?

The NPI number for Jet Dental Of Texas, PLLC is 1073445573. It was assigned to this organization in the NPPES registry on June 1, 2026.

Where is Jet Dental Of Texas, PLLC located?

Jet Dental Of Texas, PLLC is located at 200 N Kimball Ave Ste 221, Southlake, TX 76092. The listed phone number is (801) 430-9262.

What is Jet Dental Of Texas, 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 Jet Dental Of Texas, PLLC was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.