Individual provider · Type 1 NPI
Jonathan Robert Patrick, DDS, M.S
Pediatric Dentistry · Kingwood, TX
NPI number
1619218799
Active
Practice location
24510 Eastex Fwy Ste 110
Kingwood, TX 77339-2698
Fax (281) 608-7537
Mailing address
24510 Highway 59 N Ste 110
Kingwood, TX 77339-2692
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 30790 (TX) |
| Pediatric Dentistry Primary | 1223P0221X | 30790 (TX) |
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.
3 other providers at this address
Other pediatric dentistry providers in Kingwood
About NPI 1619218799
Jonathan Robert Patrick, DDS, M.S's National Provider Identifier is 1619218799, issued on Mar 14, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Kingwood, TX. The record was last updated on Nov 10, 2018.