Jet Dental of Texas, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JET DENTAL OF TEXAS, PLLC

Practice address

200 N Kimball Ave Ste 221
Southlake, TX 76092-6660

Phone

(801) 430-9262

NPI assigned

Jun 1, 2026

Last updated

Jun 1, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

JET MANAGEMENT SERVICES, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Darra Thomas-Davis

Title

Paralegal

Phone

(801) 430-9262

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1073445573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N KIMBALL AVE STE 221",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926660",
            "telephone_number": "801-430-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N KIMBALL AVE STE 221",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926660",
            "telephone_number": "801-430-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JET DENTAL OF TEXAS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JET MANAGEMENT SERVICES, LLC",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS-DAVIS",
        "authorized_official_first_name": "DARRA",
        "authorized_official_title_or_position": "PARALEGAL",
        "authorized_official_telephone_number": "801-430-9262"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Daniel Jennings, FNP-BC
• Mia Jacole Jennings
• Miranda Jensen
• Myka Jenson, RBT
• Jerry W Morris PA
• Dorian Louis Jimenez, D.P.M.
• Emily M Jimenez, PHD, LP, NCSP, MED
• Mona Lisa Jimenez, PMHNP-BC
• Jeanne Marsh Joglar, MD
• John Ryan Price, D.C., P.a. (Premier Chiropractic of Southlake)

• General Practice Dentistry in Southlake, TX
• Providers in Southlake, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.