Jared Jasicki
Dentist · Longview, TX
Practice location
3052 N Eastman Rd Ste 108Longview, TX 75605-5013
- Phone
- (903) 686-1905
NPI record
- NPI
- 1235068966
- Entity type
- Individual (Type 1)
- Enumeration date
- May 18, 2026
- Last updated
- July 6, 2026
- Certified
- July 6, 2026
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
42529 | TX |
Mailing address
1121 E Hawkins Pkwy Apt 5212Longview, TX 75605-0125
Other practice locations (2)
- 8942 S Broadway Ave Ste 128, Tyler, TX 75703-5443 · (903) 405-1552
- 3873 Hwy 64 W, Tyler, TX 75704-6925 · (903) 525-6983
About Jared Jasicki
Jared Jasicki is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3052 N Eastman Rd Ste 108, Longview, TX 75605-5013. The NPI number 1235068966 was assigned on May 18, 2026 and the record was last updated on July 6, 2026.
Jared Jasicki lists a license in the registry: #42529 (TX) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jared Jasicki?
The NPI number is 1235068966.
What is the phone number of Jared Jasicki?
The phone number listed for the practice location is (903) 686-1905.
Where is Jared Jasicki located?
3052 N Eastman Rd Ste 108, Longview, TX 75605-5013.
What is the taxonomy code for Jared Jasicki?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Jae Kyong Kim, DDS3080 N Eastman Rd Ste 104
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