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
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 12068 (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.