Provider Demographics
NPI:1174644413
Name:ATKINSON, JANEE MARIE (DDS)
Entity Type:Individual
Prefix:MRS
First Name:JANEE
Middle Name:MARIE
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JANEE
Other - Middle Name:GUERRERO
Other - Last Name:ATKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:4303 TEXAS BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503
Mailing Address - Country:US
Mailing Address - Phone:903-792-0760
Mailing Address - Fax:903-792-5111
Practice Address - Street 1:4303 TEXAS BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503
Practice Address - Country:US
Practice Address - Phone:903-792-0760
Practice Address - Fax:903-792-5111
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
TX18176122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist