Provider Demographics
NPI:1942654090
Name:JAYNES, JEFFREY CARL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:CARL
Last Name:JAYNES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 COIT RD STE 600
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-5946
Mailing Address - Country:US
Mailing Address - Phone:972-491-3916
Mailing Address - Fax:972-491-7856
Practice Address - Street 1:5800 COIT RD STE 600
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-5946
Practice Address - Country:US
Practice Address - Phone:972-491-3916
Practice Address - Fax:972-491-7856
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX179561223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry