Mabry, Jeffrey Caldwell
Mabry, Jeffrey Caldwell is an individual health care provider with primary practice located at 7703 Floyd Curl Dr Mail Code 7888, San Antonio TX 78229-3901. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Mabry, Jeffrey Caldwell can be contacted via phone (210) 567-0146.Contact Information
Primary practice address
7703 Floyd Curl Dr Mail Code 7888
San Antonio TX 78229-3901
Phone: (210) 567-0146
Fax: (210) 567-6603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 17583 | Texas |
Profile Details
| NPI number | 1134108111 |
|---|---|
| LBN Legal business name | Mabry, Jeffrey Caldwell |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Jul 18th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134108111 | NPPES |
| Texas | MEDICAID | 178728503 | |
| Texas | MEDICAID | 178728505 |
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