Provider Demographics
NPI:1811069289
Name:LANKFORD, JEFFREY DEAN (DMD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:DEAN
Last Name:LANKFORD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18600 S PARKVIEW DR APT 535
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-4968
Mailing Address - Country:US
Mailing Address - Phone:832-798-1435
Mailing Address - Fax:832-467-3963
Practice Address - Street 1:12528 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-6000
Practice Address - Country:US
Practice Address - Phone:713-333-8500
Practice Address - Fax:713-333-8501
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX228531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice