Jeffrey Chad Fendley D.D.S.

NPI 1619021268 - Dentist - 1223G0001X

NPI Details
NPI 1619021268
Gender Male
Enumeration Date 01/22/2007
Last Updated 01/23/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
1103 RIVERY BLVD
SUITE 300
GEORGETOWN TX, 78628, US
Phone (512) 868-0238
Fax (512) 868-9494
Business Location
1103 RIVERY BLVD
SUITE 300
GEORGETOWN TX, 78628, US
Phone (512) 868-0238
Fax (512) 868-9494
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 20609
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According to our database, Dr. Jeffrey Chad Fendley D.D.S. NPI is 1619021268, taxonomy code is 1223G0001X and license number is 20609, license state is located at Texas. Jeffrey Chad Fendley D.D.S. physically located at 1103 Rivery Blvd, Georgetown TX, 78628. NPI Number Jeffrey Chad Fendley D.D.S. has the Individual type.

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1619021268 NPI number is provided on an as is basis without warranty of any kind. 1619021268 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Chad Fendley D.D.S. are for informational purposes only.