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General NPI Number Information
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NPI Number | 1912465519
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Entity Type | Organization
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Legal Business Name | JAMM DENTAL SOLUTIONS, PLLC
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 2320 B F TERRY BLVD STE 100
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City | ROSENBERG
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State | TX
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Zip | 77471-6379
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Country | US
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Telephone | 832-968-8650
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Fax | 281-762-7359
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Provider Business Mailing Address
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Address Line | 18135 BELTRESS CT
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City | RICHMOND
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State | TX
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Zip | 77407-2994
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Country | US
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Telephone | 832-641-1879
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Fax | 281-762-7359
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Authorized Official
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Title or Position | PRESIDENT
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Name | JILLY SHAO
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Credential | DDS
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Telephone | 832-641-1879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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