MEDICARE: DR. MAHEEB JAOUNI B.D.S. , 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	122300000X	Dentist	14284	MD
2	122300000X	Dentist	55393	CA
3	1223E0200X	Endodontics	25600	TX

General Provider Information

NPI Number	:	1942437025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAHEEB JAOUNI B.D.S. , D.D.S., M.S

Provider Business Mailing Address
First Line	:	4880 N PRESIDENT GEORGE BUSH HWY STE 102
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75040-2742
Country	:	US
Telephone Number	:	972-496-0164
Fax Number	:

Provider Business Practice Location Address
First Line	:	4880 N PRESIDENT GEORGE BUSH HWY # 102
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75040-2742
Country	:	US
Telephone Number	:	972-496-0164
Fax Number	:	972-295-9323

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

Provider Enumeration Date	:	06/16/2009
Last Update Date	:	07/29/2024

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