Mabry, Jeffrey Caldwell

Mabry, Jeffrey Caldwell is an individual health care provider with primary practice located at 7703 Floyd Curl Dr Mail Code 7888, San Antonio TX 78229-3901. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Mabry, Jeffrey Caldwell can be contacted via phone (210) 567-0146.

Contact Information

Primary practice address
7703 Floyd Curl Dr Mail Code 7888 San Antonio TX 78229-3901
Fax: (210) 567-6603
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 17583 Texas

Profile Details

NPI number 1134108111
LBN Legal business name Mabry, Jeffrey Caldwell
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 18th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134108111 NPPES
Texas MEDICAID 178728503
Texas MEDICAID 178728505

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