DRS Jeffords & Offutt, Pediatric Dentistry, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

18284 Issued in TX

Legal business name

DRS JEFFORDS & OFFUTT, PEDIATRIC DENTISTRY, PC

Practice address

14603 Huebner Rd
Ste 701 BLDG 7
San Antonio, TX 78230-5476

Phone

(210) 692-1919

Fax

(210) 692-7477

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Leticia G Jeffords, D.D.S., MS

Title

Owner

Phone

(210) 692-1919

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1629178801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14603 HUEBNER RD.",
            "address_2": "STE 701 BLDG 7",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305476",
            "telephone_number": "210-692-1919",
            "fax_number": "210-692-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14603 HUEBNER RD",
            "address_2": "STE 701 BLDG 7",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305476",
            "telephone_number": "210-692-1919",
            "fax_number": "210-692-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS JEFFORDS & OFFUTT, PEDIATRIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "JEFFORDS",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-692-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "18284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009659601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darrell Drouillard
• Gary James Drouillard, M.D.
• Luz Drouillard
• Peter Noel Vincent Drouillard, DDS
• Lisa Whipple Drozdick, PH.D.
• DRS. Bell, Davis, Elder & Assoc
• DRS. Ned D. Lunt & Winston O. Miller, P.C.
• Allison Ruth Druhan
• Belinda Druin, LVN
• Stephen C Drukker, M.D.

• Pediatric Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.