Jy Dental, Pllc

NPI #1790210904 in Midland, Texas

Provider Information

NPI Number: 1790210904
Entity Type: Organization
Organization Name: Jy Dental, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 25, 2017
Last Updated: Apr 25, 2017

Practice Location

Address: 4410 N MIDKIFF RD
Address 2: SUITE D-1
City: Midland
State: Texas
ZIP Code: 79705-4246
Phone: (432) 553-3886

Authorized Official

Name: DR. THOMAS YOUNGBLOOD, DDS
Title: OWNER
Phone: (432) 553-3886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - General Practice — General Practice	1223G0001X	Primary

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