Provider Demographics
NPI:1326149113
Name:MCANEAR, JON TOM (DDS)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:TOM
Last Name:MCANEAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:306 ZORNIA DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78213-2114
Mailing Address - Country:US
Mailing Address - Phone:210-342-0280
Mailing Address - Fax:210-342-6032
Practice Address - Street 1:7870 BROADWAY ST
Practice Address - Street 2:BLDG. B-101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-2561
Practice Address - Country:US
Practice Address - Phone:210-858-1846
Practice Address - Fax:210-829-8124
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2008-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX105341223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery