Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124755202 Individual Practitioner Male Practitioner

Dr. Jacob Alexander Rendon , DDS

Dentist • College Station, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Rendon, DDS is a registered healthcare professional specializing in Dentist in College Station, TX. Practice services are available at 1509 EMERALD PKWY STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1509 Emerald Pkwy Ste 105

College Station, TX 778455502

Telephone 9796968681
Associated Practice Facility / Clinic
🏢 Matthews Dental Group, Pa Facility NPI 1922245695

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in College Station, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
21 Specialists

Practicing in College Station, TX (6851 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-29
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 38895

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Ashley Farrar , DDS

Dentist - General Practice

NPI 1912040809

Doctor of Dental Surgery

Dr. Ashton Matthews , DDS

Dentist - General Practice

NPI 1912092974

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address September 29, 2022

Registered at 213 LYNN DR # 201, BRYAN, TX 778013322 (Tel: 8062061339)

NPI Profile Active August 08, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2022

Registered at 1509 EMERALD PKWY STE 105, COLLEGE STATION, TX 778455502 (Tel: 9796968681)

📍
Updated Business Mailing Address August 08, 2022

Registered at 4050 MCEWEN RD APT 11123, FARMERS BRANCH, TX 752445452 (Tel: 8062061339)

👤
Provider Name / Credentials Updated August 08, 2022

Recorded as JACOB RENDON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2022

Dentist (License #38895 in TX)

🟢
Initial NPI Registration & Enumeration August 08, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124755202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2022
Last Update: September 29, 2022
Sole Proprietor: No

Mailing Address

213 Lynn Dr # 201

Bryan, TX 778013322

Phone: 8062061339

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.