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NPI Code Detail

MEDICARE: JNE 512 PLLC

MEDICARE: JNE 512 PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1386583847
Entity Type Code : Organization
Provider Name (Legal Business Name) : JNE 512 PLLC
Provider Business Mailing Address
First Line : 400 N LOOP 1604 E STE 205
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-1246
Country : US
Telephone Number : 210-496-3869
Fax Number :
Provider Business Practice Location Address
First Line : 6104 S 1ST ST STE 103
Second Line :
City : AUSTIN
State : TX
Zip : 78745-4052
Country : US
Telephone Number : 210-496-3869
Fax Number :
Authorized Official
Title or Position : OWNER/DENTIST
Name : DR. JOSHUA K GEORGE
Credential : DMD
Telephone Number : 502-709-3847
Provider Enumeration Date : 03/27/2026
Last Update Date : 03/27/2026

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Directions to “JNE 512 PLLC ” Practice Location

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