MEDICARE: DR. JIE LIU D.D.S, MS.

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	122300000X	Dentist	29126	TX

General Provider Information

NPI Number	:	1518262849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JIE LIU D.D.S, MS.

Provider Business Mailing Address
First Line	:	1700 LOUETTA RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-4760
Country	:	US
Telephone Number	:	832-663-9024
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 LOUETTA RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-4760
Country	:	US
Telephone Number	:	832-663-9024
Fax Number	:

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

Provider Enumeration Date	:	01/18/2011
Last Update Date	:	12/17/2025

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