Individual provider · Type 1 NPI
Jordan Bolletta, DMD
General Practice Dentistry · Georgetown, TX
NPI number
1992376628
Active
Practice location
5725 Williams Dr Ste 101
Georgetown, TX 78633-2216
Mailing address
608 Saturnia Dr
Georgetown, TX 78628-2263
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 37434 (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.
3 other providers at this address
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- Nanditha RaoGeneral Practice Dentistry Georgetown, TX NPI 1134771587
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- Saeid Abbasiyan, DDSGeneral Practice Dentistry Georgetown, TX NPI 1275143182
About NPI 1992376628
Jordan Bolletta, DMD's National Provider Identifier is 1992376628, issued on Jul 4, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Georgetown, TX. The record was last updated on Jul 4, 2021.