Provider Demographics
NPI:1093836447
Name:MCWHERTER, JAYNE ANNE (RDH, MED)
Entity Type:Individual
Prefix:MS
First Name:JAYNE
Middle Name:ANNE
Last Name:MCWHERTER
Suffix:
Gender:F
Credentials:RDH, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 S GESSNER RD
Mailing Address - Street 2:342
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3762
Mailing Address - Country:US
Mailing Address - Phone:713-500-4399
Mailing Address - Fax:713-500-0410
Practice Address - Street 1:6516 M. D. ANDERSON BLVD.
Practice Address - Street 2:1.085
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3402
Practice Address - Country:US
Practice Address - Phone:713-500-4399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX02243124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist