MEDICARE: DR. AKBAR H. JAFFERALLY D.M.D.

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	1223G0001X	General Practice Dentistry	20713	TX

General Provider Information

NPI Number	:	1568577278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AKBAR H. JAFFERALLY D.M.D.

Provider Business Mailing Address
First Line	:	3018 ROYAL OAKS CRST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2841
Country	:	US
Telephone Number	:	281-989-4259
Fax Number	:	713-640-5255

Provider Business Practice Location Address
First Line	:	19875 SOUTHWEST FWY STE 120
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3502
Country	:	US
Telephone Number	:	281-989-4259
Fax Number	:

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

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	03/29/2011

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