Jacob A Rendon, D.D.S., P.C.
Clinic/Center, Dental in College Station, TX. Organization (NPI-2).
NPI number1316736879
StatusActive
Last updated in NPPESMay 1, 2025
Details
- NPI
- 1316736879
- Entity type
- Organization (NPI-2)
- Legal business name
- Jacob A Rendon, D.D.S., P.C.
- Organization subpart
- No
- Enumeration date
- May 1, 2025
- Certification date
- May 1, 2025
- Last updated
- May 1, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Matthews Dental Group (Doing Business As)
Practice location
1509 Emerald Pkwy Ste 105College Station, TX 77845-5502
Phone 979-696-8681
Mailing address
1509 Emerald Pkwy Ste 105College Station, TX 77845-5502
Phone 979-696-8681
Authorized official
Jacob Alexander Rendon
President
8062061339
Is something wrong?
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