Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jaqueline Medina, DDS

Individual provider General Practice Dentistry · NPI 1477167419

Dr. Jaqueline Medina, DDS is a General Practice Dentistry in Port Arthur, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2020
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2780 Fm 365 Ste C
Port Arthur, TX 77640
Phone: (409) 332-4701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 36599 (TX)

Record details

NPI number1477167419
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 8, 2020
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 2, 2020

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