DR. MICHAEL J JEANSONNE (NPI# 1265629570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265629570 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J JEANSONNE |
| Credential | D.D.S.M.S |
| Practice Address |
3590 Blackmon Ln # 2 Beaumont TX 77706-7927 |
| Practice Telephone | 4098926026 |
| Practice Fax Number | 4098928426 |
| Mailing Telephone | 4098926026 |
| Mailing Fax Number | 4098928426 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
15424 | TX | Dental Providers |
| Street Address |
3590 BLACKMON LN # 2 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-7927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| Find all providers in zip 77706 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649420126 | Katherine E Olson | Dentist | 6755 Phelan Blvd, Suite 18, Beaumont, TX 77706-6075 | 2008-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221392 | Erika Silguero | Dentist | 101 E Expressway 83 Ste 120, Mcallen, TX 78501-1164 | 2020-10-01 |
| 1952925968 | Premier Endodontics, P.C. | Dentist | 3400 N Mccoll Rd Ste C, Mcallen, TX 78501-5783 | 2020-06-04 |
| 1982233318 | Patency Capital LLC | Dentist | 1050 Yale St Ste 210, Houston, TX 77008-2831 | 2020-04-07 |
| 1174158661 | Hira Assad | Dentist | Spring Klein Endodontics, 6078 Farm To Market 2920, Spring, TX 77379 | 2020-03-05 |
| 1366074890 | Magnolia Family Dentistry Pllc | Dentist | 610 Melton St Ste 300, Magnolia, TX 77354-2366 | 2020-02-12 |
| 1639719925 | Yelton Jung Endodontics Group | Dentist | 1901 Fm 423 Ste 200, Frisco, TX 75033-4729 | 2020-01-14 |
| 1528608817 | Yelton Jung Endodontics Group | Dentist | 1710 Highway 287 N Ste 100, Mansfield, TX 76063-7725 | 2020-01-14 |
| 1699323618 | Jaymin Jayantibhai Patel | Dentist | 2112 Boll St Apt 122, Dallas, TX 75204-2835 | 2019-09-03 |
| 1851943989 | Jae Ha Jung Dds Pllc | Dentist | 1901 Fm 423, Ste 200, Little Elm, TX 75068 | 2019-07-09 |
| 1790349165 | Endodontics & Microsurgery Center PC | Dentist | 23543 Kingsland Blvd Ste 500, Katy, TX 77494-3962 | 2019-04-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.