Individual provider · Type 1 NPI

Jack Shirley

General Practice Dentistry · San Antonio, TX

NPI number 1376715201 Active

Practice location

7826 Louis Pasteur Ste 103
San Antonio, TX 78229-3410

Fax (210) 615-8359

Mailing address

7826 Louis Pasteur, Ste 103
San Antonio, TX 78229

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X12068 (TX)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1376715201

Jack Shirley's National Provider Identifier is 1376715201, issued on Apr 1, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Antonio, TX. The record was last updated on Apr 1, 2008.