Individual provider · Type 1 NPI
Jenna Mie Thomas, DDS
Pediatric Dentistry · Fort Bliss, TX
NPI number
1205157765
Active
Practice location
William Beaumont Army Medical Center, 18511 Highlander Medics St
Fort Bliss, TX 79906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 59343 (CA) |
| Pediatric Dentistry Primary | 1223P0221X | 59343 (CA) |
| General Practice Dentistry | 1223G0001X | 59343 (CA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1205157765
Jenna Mie Thomas, DDS's National Provider Identifier is 1205157765, issued on Jun 18, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fort Bliss, TX. The record was last updated on Sep 10, 2026.