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1669069142 NPI number — DR. TYLER H. JOLLEY, DMD PC DOING BUSINESS AS JOLLEY SMILES

NPI Number: 1669069142
Health Care Provider/Practitioner: DR. TYLER H. JOLLEY, DMD PC DOING BUSINESS AS JOLLEY SMILES

Information about “1669069142” NPI (DR. TYLER H. JOLLEY, DMD PC DOING BUSINESS AS JOLLEY SMILES) exists in 1669069142 in HTML format HTML  |  1669069142 in plain Text format TXT  |  1669069142 in PDF (Portable Document Format) PDF  |  1669069142 in an XML format XML  formats.

NPI Number : 1669069142 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669069142",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DR. TYLER H. JOLLEY, DMD PC DOING BUSINESS AS JOLLEY SMILES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "740 MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DELTA",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "81416-1828",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-874-0456",
    "MailingAddressFaxNumber": "970-399-3217",
    "FirstLinePracticeLocationAddress": "740 MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DELTA",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "81416-1828",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-874-0456",
    "PracticeLocationAddressFaxNumber": "970-399-3217",
    "EnumerationDate": "12/30/2020",
    "LastUpdateDate": "12/31/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CRONKHITE",
    "AuthorizedOfficialFirstName": "TONJA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "INSURANCE COORDINATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "970-523-6333",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223X0400X",
        "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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