Provider Demographics
NPI:1437436805
Name:GARCIA, JORGE F (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:F
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 W RALPH HALL PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6655
Mailing Address - Country:US
Mailing Address - Phone:469-698-8282
Mailing Address - Fax:
Practice Address - Street 1:1010 W RALPH HALL PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6655
Practice Address - Country:US
Practice Address - Phone:469-698-8282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-13
Last Update Date:2011-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX259011223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics