Provider Demographics
NPI:1619581139
Name:JMC DENTAL PLLC
Entity Type:Organization
Organization Name:JMC DENTAL PLLC
Other - Org Name:THE TERRELL DENTIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMBRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:512-354-5913
Mailing Address - Street 1:101 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75160-2644
Mailing Address - Country:US
Mailing Address - Phone:972-563-7633
Mailing Address - Fax:972-551-0840
Practice Address - Street 1:101 E HIGH ST
Practice Address - Street 2:
Practice Address - City:TERRELL
Practice Address - State:TX
Practice Address - Zip Code:75160-2644
Practice Address - Country:US
Practice Address - Phone:972-563-7633
Practice Address - Fax:972-551-0840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental