| Jet Dental Of San Antonio, Pllc | |
|
1 Lone Star Pass Ste 46 San Antonio TX 78264-3650 | |
| (801) 430-9262 | |
| Not Available |
| Full Name | Jet Dental Of San Antonio, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 Lone Star Pass Ste 46, San Antonio, Texas |
| Authorized Official Name and Position | Jeffrey Dane Johnson (OWNER) |
| Authorized Official Contact | 8015928829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jet Dental Of San Antonio, Pllc 1 Lone Star Pass Ste 46 San Antonio TX 78264-3650 Ph: (801) 430-9262 | Jet Dental Of San Antonio, Pllc 1 Lone Star Pass Ste 46 San Antonio TX 78264-3650 Ph: (801) 430-9262 |
| NPI Number | 1396617536 |
|---|---|
| Provider Enumeration Date | 09/18/2025 |
| Last Update Date | 09/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396617536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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