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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JAQUELINE MEDINA, DDS

Active Sole Proprietor

DR. JAQUELINE MEDINA, DDS is a General Dentistry healthcare provider located in PORT ARTHUR, Texas. NPI 1477167419 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PORT ARTHUR, TX

Registration Details

NPI Number
1477167419
Provider Type
Individual
Gender
Female
NPI Issued
Sep 8, 2020 (5.9348936229405 yrs)
Last Updated
Sep 8, 2020
License
36599 (TX)
Sole Proprietor
Yes

Practice Information

Address
2780 FM 365
SUITE C
PORT ARTHUR, TX, 77640
Browse TX providers · Browse ZIP 77640
Phone
4093324701
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in PORT ARTHUR, TX

Name Credential NPI
DR. ROBERT FRANKLIN PICKARD D.D.S 1992702856
MR. JOHN JOSEPH HEDERMAN D.D.S 1588662712
DR. BARRY JOE ROBERTSON DDS 1114028008
DR. GREGORY THOMAS KUNZ DDS 1891884235
DR. MICHAEL SCOTT BARTLETT DDS 1760686091
ROBERT E WIGGINS JR. DDS 1649475690
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.