Provider Demographics
NPI:1649304767
Name:JEFFREY C JAYNES DDS PA
Entity type:Organization
Organization Name:JEFFREY C JAYNES DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:JAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-491-3916
Mailing Address - Street 1:5800 COIT RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-5942
Mailing Address - Country:US
Mailing Address - Phone:972-491-3916
Mailing Address - Fax:972-491-7856
Practice Address - Street 1:5800 COIT RD
Practice Address - Street 2:SUITE 600
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-5942
Practice Address - Country:US
Practice Address - Phone:972-491-3916
Practice Address - Fax:972-491-7856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17956261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental