DR. JEFFREY CHAD FENDLEY (NPI# 1619021268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619021268 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY CHAD FENDLEY |
| Credential | D.D.S. |
| Practice Address |
1103 Rivery Blvd Suite 300 Georgetown TX 78628 |
| Practice Telephone | 5128680238 |
| Practice Fax Number | 5128689494 |
| Mailing Telephone | 5128680238 |
| Mailing Fax Number | 5128689494 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2015-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
20609 | TX | Dental Providers |
| Street Address |
1103 RIVERY BLVD SUITE 300 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629158209 | Randy S O Brien | Dentist | 1103 Rivery Blvd, Suite 300, Georgetown, TX 78628-3034 | 2006-10-17 |
| 1750616637 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 1103 Rivery Blvd, Ste 300, Georgetown, TX 78628-3034 | 2009-10-09 |
| 1780858688 | Bhavesh B. Bhakta | Dentist | 1103 Rivery Blvd, Suite 300, Georgetown, TX 78628-3034 | 2008-04-22 |
| 1801060660 | Kelly M. Gonzales, Dds, PC | Dentist | 1103 Rivery Blvd, Ste 140, Georgetown, TX 78628-3034 | 2008-04-14 |
| 1417128687 | Kelly Marie Gonzales | Dentist | 1103 Rivery Blvd, Ste. 140, Georgetown, TX 78628-3034 | 2008-03-17 |
| 1871793083 | Stephen Mark Meacham | Dentist | 1103 Rivery Blvd, 300, Georgetown, TX 78628-3034 | 2007-07-25 |
| 1588788970 | Alison Damarodas Campbell | Dentist | 1103 Rivery Blvd, Ste 140, Georgetown, TX 78628-3034 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164079760 | Maegan Marissa Milliet | Student in an Organized Health Care Education/Training Program | 302 Rideg Run Dr, Georgetown, TX 78628 | 2019-08-20 |
| 1366918419 | Harold F. Adelman, M.d, Pllc | Clinic/Center | 3008 Dawn Drive, Suite #103, Georgetown, TX 78628 | 2018-10-16 |
| 1679085401 | Georgetown Emergency Physicians Pllc | Clinic/Center | 1210 W University Blvd, Georgetown, TX 78628 | 2017-11-02 |
| 1134631450 | Meredith Rollins Hatcher | Physician Assistant | 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 | 2017-10-26 |
| 1588188304 | Wolf Ranch Dental Group, PC | Dentist | 1135 West University Avenue, Georgetown, TX 78628 | 2017-08-02 |
| 1982066528 | Imren Ozturk | Family Medicine | Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 | 2016-03-23 |
| 1093114100 | Della Davis | Hearing Instrument Specialist | 1013 W. University Ave, Suite 122, Georgetown, TX 78628 | 2014-08-14 |
| 1083988125 | Deann Reinshuttle | Audiologist-Hearing Aid Fitter | 3316 Williams Dr Ste 115, Georgetown, TX 78628 | 2012-03-07 |
| 1700195823 | Zeyad B Mughrabi | Dentist | 1615 Williams Dr, Georgetown, TX 78628 | 2010-10-07 |
| 1497071534 | Jeri Lynne Manhal | Counselor | 1618 Williams Dr., Suite 4, Georgetown, TX 78628 | 2010-04-14 |
| Find all providers in zip 78628 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407408354 | Carol Farn | Dentist | 3737 Williams Dr, Georgetown, TX 78628-2401 | 2019-07-11 |
| 1316507494 | Ian Bradley Emerson | Dentist | 9215 State Road 64, Georgetown, IN 47122-8833 | 2019-06-19 |
| 1396224580 | Advanced Dentistry and Cosmetic Center | Dentist | 230 Connector Rd, Georgetown, KY 40324-9722 | 2018-08-09 |
| 1669910592 | Phoebe Y Sun | Dentist | 203 Champion Way Ste 6, Georgetown, KY 40324-8861 | 2017-02-12 |
| 1063864965 | Andrew Edmonds | Dentist | 4405 Williams Dr Ste 300, Georgetown, TX 78628-1383 | 2016-07-05 |
| 1740562719 | Adam Thompson Dmd Pllc | Dentist | 203 Champion Way, Suite #6, Georgetown, KY 40324-8861 | 2011-09-15 |
| 1700195823 | Zeyad B Mughrabi | Dentist | 1615 Williams Dr, Georgetown, TX 78628 | 2010-10-07 |
| 1205082096 | Robert L. Cieri | Dentist | 73 Redding Road, Unit 5, Georgetown, CT 06829 | 2008-08-12 |
| 1578747325 | Euclid Newton Mcleod Jr. | Dentist | 1 Citizens Plz, 1102 S. Main St., Georgetown, TX 78626-5825 | 2007-12-27 |
| 1679785612 | Mandy Lee Holley | Dentist | 3613 Williams Dr., Suite 1001, Georgetown, TX 78628 | 2007-05-03 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78628 |
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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.