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

Dr. Jimmy Lee Wardlaw Sr.

Individual provider Dentist · NPI 1154691434

Dr. Jimmy Lee Wardlaw Sr. is a Dentist in Rockwall, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2012
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Practice location Address checks out

107 Scenic Dr
Rockwall, TX 75032-8615
Phone: (972) 771-8602
Fax: (972) 771-8602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 8100 (TX)

Record details

NPI number1154691434
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 4, 2012
Last updated in NPPESJanuary 4, 2012

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