JENNIFER LYNN TOMBLYN (NPI# 1124412945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124412945 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN TOMBLYN |
| Other Name | JENNIFER LYNN MITCHELL |
| Credential | DDS |
| Practice Address |
1 Flatts Ln Morgantown WV 26505-3840 |
| Practice Telephone | 7404241040 |
| Mailing Telephone | 7404241040 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
30709 | TX | Dental Providers |
| Street Address |
1 FLATTS LN |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619361284 | Travis Gary Tomblyn | Dentist | 1 Flatts Ln, Morgantown, WV 26505-3840 | 2015-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699214452 | Uyen Hoang Nguyen | Dentist | 204 Orchard Xing, Morgantown, WV 26505-1724 | 2017-02-13 |
| 1487885794 | Carl Lee White | Dentist | 714 Venture Dr # 163, Morgantown, WV 26508-7306 | 2009-08-04 |
| 1568682870 | Drs. Lacy & Weidman, Pllc | Dentist | 918 Chestnut Ridge Prof. Bldg., Suite #5, Morgantown, WV 26505-2822 | 2007-04-27 |
| 1841204336 | David A. Sanders | Dentist | 1321 Dorsey Ave, Morgantown, WV 26501-7122 | 2006-07-28 |
| 1164995304 | Nicolette Raquel Chahin | Dentist | 451 Suncrest Town Centre Dr, Morgantown, WV 26505-1814 | 2019-01-10 |
| 1881134690 | Reed Orthodontics, Inc | Dentist | 63 Wharf St, Suite 100, Morgantown, WV 26501-5937 | 2017-02-27 |
| 1821447624 | Jason Lawrence | Dentist | 63 Wharf St, Suite 100, Morgantown, WV 26501-5937 | 2016-06-13 |
| 1619361284 | Travis Gary Tomblyn | Dentist | 1 Flatts Ln, Morgantown, WV 26505-3840 | 2015-03-22 |
| 1639246887 | Gregory Alan Lacy | Dentist | 918 Chestnut Ridge Rd, Suite 5, Morgantown, WV 26505-2822 | 2006-11-30 |
| 1770650012 | Michael Anthony Hazey IIi | Dentist | 918 Chestnut Ridge Rd, Suite #5, Morgantown, WV 26505-2822 | 2006-11-30 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.