TSBDE Dentist: TEAGUE, JERRY L. # 21102

License Number 21102
License Rank Licensed Dentist
License Status Deceased
License Issue Date 08/07/2002
License Expiration Date 06/03/2022
Electronic Rx Waiver Expiration Date

Last Name TEAGUE
Former Last Name TEAGUE
First Name JERRY
Middle Name L.
Gender Male
City SHAVANO PARK
State TX
Zip Code 78249
County BEXAR

Exempt Location No

Nitrous Certification Date No Permit
Anesthesia Level 1 Permit Issue Date No Permit
Anesthesia Level 2 Permit Issue Date No Permit
Anesthesia Level 3 Permit Issue Date No Permit
Anesthesia Level 4 Permit Issue Date No Permit
Sedation of Pediatric Patients No
Sedation of High-Risk Patients No
 
 
Type of Practice GEN
Year Graduated 1979
Dental School Baylor
Year of Birth 1951
 
 
Public Actions
Disciplinary Action Yes
Disciplinary Action PDFs 21102_Teague_Jerry_08-31-16.pdf - 21102_Teague_Jerry_11-15-2019.pdf - 21102_Teague_Jerry_12-22-2017.pdf -
Remedial Plans No
Remedial Plan PDFs

CERTIFICATION OF INFORMATION: The Texas State Board of Dental Examiners certifies that it maintains the information for the license verification functions of this website, performs daily updates to the website and considers the website to be a secure, primary source for license verification.

Exempt Location status applies to dentists who hold at least a level 2 sedation permit or higher. Pursuant to Board Rule 110.18(g): Exempt-location status: During the period of exempt-location status, a permit holder may not delegate the administration of any level of sedation/anesthesia to a dental or medical professional outside a state-licensed hospital or state-licensed ambulatory surgery center. If they are later found to have administered or delegated the administration of level 2, 3, or 4 sedation/anesthesia in a non-exempt location, the Board shall pursue revocation of their dental license.


Codes for Type of Practice

DPH=Dental Public Health
END=Endodontics
GEN=General Dentistry
OMP=Oral&Maxillofacial Pathology
OMR=Oral&Maxillofacial Radiology
OMS=Oral&Maxillofacial Surgery
ORTH=Orthodontics
PEDO=Pediatric Dentistry
PERI=Periodontics
PROS=Prosthodontics