MEDICARE: DR. ELIZABETH DRAUGHON JAYNES D.D.S., M.S.

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
1	1223P0300X	Periodontics	18283	TX

General Provider Information

NPI Number	:	1760486252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH DRAUGHON JAYNES D.D.S., M.S.

Provider Business Mailing Address
First Line	:	5800 COIT RD
Second Line	:	STE 300
City	:	PLANO
State	:	TX
Zip	:	75023-5944
Country	:	US
Telephone Number	:	972-964-8833
Fax Number	:	972-612-8291

Provider Business Practice Location Address
First Line	:	5800 COIT RD
Second Line	:	STE 300
City	:	PLANO
State	:	TX
Zip	:	75023-5944
Country	:	US
Telephone Number	:	972-964-8833
Fax Number	:	972-612-8291

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	07/08/2007

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