Jacquelyn DO, DDS

Dentist · Pearland, TX

Individual Active NPI

NPI number 1902938046

Practice location

3525 Broadway Street
Suite 101
Pearland, TX 77581
Phone
(281) 485-1133
Fax
(281) 485-1166

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NPI record

NPI
1902938046
Entity type
Individual (Type 1)
Enumeration date
March 12, 2007
Last updated
September 16, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 23838 TX
Dentist 122300000X 0023838 TX
Dentist 122300000X 53206 CA
General Practice Dentistry 1223G0001X D53206 CA

About Dr. DO

Jacquelyn DO, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3525 Broadway Street, Suite 101, Pearland, TX 77581. The NPI number 1902938046 was assigned on March 12, 2007 and the record was last updated on September 16, 2009.

Dr. DO lists 4 licenses in the registry: #23838 (TX) for Dentist; #0023838 (TX) for Dentist; #53206 (CA) for Dentist; #D53206 (CA) 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 Jacquelyn DO, DDS?

The NPI number is 1902938046.

What is the phone number of Dr. DO?

The phone number listed for the practice location is (281) 485-1133.

Where is Dr. DO located?

3525 Broadway Street, Suite 101, Pearland, TX 77581.

What is the taxonomy code for Dr. DO?

The primary taxonomy code is 122300000X – Dentist; 3 more listed above.

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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