Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KNIEEKA SHANELL JAKE-PACHECO, DMD
ActiveMRS. KNIEEKA SHANELL JAKE-PACHECO, DMD is a Orthodontics healthcare provider located in BRYAN, Texas. NPI 1063645745 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · BRYAN, TX
Registration Details
- NPI Number
- 1063645745
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2009 (16.982178453929 yrs)
- Last Updated
- Aug 28, 2018
- Licenses
-
62350 (CA)200916780 (MO)29374 (TX)
Practice Information
- Address
-
3111 S TEXAS AVEBRYAN, TX, 77802Browse TX providers · Browse ZIP 77802
- Phone
- 9794460270
- Fax
- 9797757641
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Dentist
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in BRYAN, TX
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN H. CASE | D.D.S., M.S. | 1033102611 |
| DR. JAMES GARLAND WATSON, JR. | D.D.S., M.S.D. | 1114028412 |
| GORDON PRATT JR. | DDS | 1982038212 |
| KE WANG | — | 1447710926 |
| ADRIANA MORALES BUENDIA | — | 1396505988 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.