Active NPI 1619021268 Individual Practitioner Male Practitioner

Dr. Jeffrey Chad Fendley , DDS

Dentist - General Practice • Georgetown, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Fendley, DDS is a registered healthcare professional specializing in Dentist - General Practice in Georgetown, TX. Practice services are available at 1103 RIVERY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1103 Rivery Blvd
Suite 300

Georgetown, TX 78628

Telephone 5128680238

Fax 5128689494

Associated Practice Facility / Clinic

🏢 Kelly M. Gonzales, Dds, Pc Facility NPI 1801060660

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Georgetown, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.0 Yrs

State Avg: 12.3 Yrs

Regional Practice Density

52 Specialists

Practicing in Georgetown, TX (10570 Statewide)

Telehealth Adoption Rate

1.9% 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 20609

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Randy O Brien , DDS

Dentist - General Practice

NPI 1629158209

Doctor of Dental Surgery

Dr. Stephen Meacham , DDS

Dentist - General Practice

NPI 1871793083

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2015

Registered at 1103 RIVERY BLVD, SUITE 300, GEORGETOWN, TX 78628 (Tel: 5128680238)

📍

Updated Business Mailing Address January 23, 2015

Registered at 1103 RIVERY BLVD, SUITE 300, GEORGETOWN, TX 78628 (Tel: 5128680238)

👤

Provider Name / Credentials Updated January 23, 2015

Recorded as JEFFREY FENDLEY, D.D.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2015

Dentist (License #20609 in TX)

🟢

Initial NPI Registration & Enumeration January 22, 2007

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: 1619021268

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 22, 2007

Last Update: January 23, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1103 Rivery Blvd, Suite 300

Georgetown, TX 78628

Phone: 5128680238

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.