Jeffrey P. Jessup, DDS

General Practice Dentistry · Jbsa Lackland, TX

Individual Active NPI

NPI number 1750375093

Practice location

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone
(210) 292-0123

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NPI record

NPI
1750375093
Entity type
Individual (Type 1)
Enumeration date
September 1, 2005
Last updated
January 19, 2021
Certified
January 19, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 15997 TX

Mailing address

2133 Pepperrell St Bldg 3352
Lackland Afb, TX 78236-5313
Phone
(210) 292-0123

About Dr. Jessup

Jeffrey P. Jessup, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638. The NPI number 1750375093 was assigned on September 1, 2005 and the record was last updated on January 19, 2021.

Dr. Jessup lists a license in the registry: #15997 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jeffrey P. Jessup, DDS?

The NPI number is 1750375093.

What is the phone number of Dr. Jessup?

The phone number listed for the practice location is (210) 292-0123.

Where is Dr. Jessup located?

1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638.

What is the taxonomy code for Dr. Jessup?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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