Jeffrey Caldwell Mabry in San Antonio - Pediatric Dentistry

Jeffrey Caldwell Mabry - NPI 1134108111

Jeffrey Caldwell Mabry is a Pediatric Dentistry in San Antonio, Texas. Jeffrey Caldwell Mabry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jeffrey Caldwell Mabry is 1134108111. The last update date is 2011-07-18.

Jeffrey Caldwell Mabry's current location address is 7703 Floyd Curl Dr, San Antonio, Texas. You can contact this provider via phone number 2105670146 and fax number 2105676603. The mailing address for Jeffrey Caldwell Mabry is 7703 Floyd Curl Dr, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Caldwell Mabry
Address 7703 Floyd Curl Dr, San Antonio, Texas
Phone Number 2105670146
Fax Number 2105676603
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1134108111
Provider Enumeration Date 2006-01-10
Last Updated Date 2011-07-18

Provider Mailing Address Detail

Address 7703 Floyd Curl Dr
City San Antonio
State Texas (TX)
Post Code 782293901
Phone Number 2105670146
Fax Number 2105676603

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 17583
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
178728503 TX --
178728505 TX --

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FAQs about Jeffrey Caldwell Mabry

What is the unique 10-digit identification code assigned to Jeffrey Caldwell Mabry by the Centers for Medicare & Medicaid Services?

The Jeffrey Caldwell Mabry has been issued the NPI (National Provider Identifier) 1134108111, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jeffrey Caldwell Mabry is physically located?

The Jeffrey Caldwell Mabry is physically situated at the following address: 7703 Floyd Curl Dr, San Antonio, TX, 782293901.

What is Jeffrey Caldwell Mabry's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jeffrey Caldwell Mabry's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services issue the 1134108111 to Jeffrey Caldwell Mabry?

The Jeffrey Caldwell Mabry received its 1134108111 assignment from the Centers for Medicare & Medicaid Services on 2006-01-10.

As of what date were the Jeffrey Caldwell Mabry's details last updated?

The information pertaining to the Jeffrey Caldwell Mabry, including its address, specialty, and other details, was most recently updated on 2011-07-18.

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