MEDICARE: JEFFREY C JAYNES DDS PA

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	261QD0000X	Dental Clinic/Center	17956	TX

General Provider Information

NPI Number	:	1649304767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFREY C JAYNES DDS PA

Provider Business Mailing Address
First Line	:	5800 COIT RD
Second Line	:	SUITE 600
City	:	PLANO
State	:	TX
Zip	:	75023-5942
Country	:	US
Telephone Number	:	972-491-3916
Fax Number	:	972-491-7856

Provider Business Practice Location Address
First Line	:	5800 COIT RD
Second Line	:	SUITE 600
City	:	PLANO
State	:	TX
Zip	:	75023-5942
Country	:	US
Telephone Number	:	972-491-3916
Fax Number	:	972-491-7856

Authorized Official
Title or Position	:	PRESIDENT OWNER
Name	:	DR. JEFFREY CARL JAYNES
Credential	:	DDS
Telephone Number	:	972-491-3916

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	08/22/2020

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