DR. TYLER H JOLLEY (NPI# 1588763528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588763528 |
| Entity Type | Individual |
| Full Name | DR. TYLER H JOLLEY |
| Credential | DMD |
| Practice Address |
601 28 1/4 Rd Grand Junction CO 81506-6022 |
| Practice Telephone | 9708584446 |
| Practice Fax Number | 9708586436 |
| Mailing Telephone | 9708584446 |
| Mailing Fax Number | 9708586436 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2010-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
53318729922 | UT | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
9143 | CO | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
53318729922 | UT | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
9143 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568725893 | Tyler Virgil Jolley | Podiatrist | 2401 S 31st St, Office of Podiatry, Temple, TX 76508-0001 | 2012-06-21 |
| Street Address |
601 28 1/4 RD |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81506-6022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720625007 | Community Medical Group, LLC | Specialist | 601 28 1/4 Rd, Grand Junction, CO 81506-6022 | 2019-12-05 |
| 1023336906 | Jonathan W Hathaway | Pediatrics | 601 28 1/4 Rd, Grand Junction, CO 81506-6022 | 2010-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
| 1720646292 | Creed Ott | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1568948776 | Lakeside Psychological Services, LLC | Clinic/Center | 3154 Lakeside Dr Apt 103, Grand Junction, CO 81506 | 2018-07-11 |
| 1700389095 | Catherine Martha Plough | Registered Nurse | 2754 Compass Drive, Suite 377, Grand Junction, CO 81506 | 2018-03-13 |
| 1114445657 | Katrina Nicol Metcalf | Nurse Practitioner | 2643 Patterson Road Suite 605, Grand Junction, CO 81506 | 2017-09-05 |
| 1346760642 | Christopher Lewis Hoef II | Licensed Practical Nurse | 3031 N 14th St, Grand Junction, CO 81506 | 2017-06-27 |
| 1477928976 | Welbrook Senior Living Grand Junction LLC | Skilled Nursing Facility | 2596 Patterson Rd., Grand Junction, CO 81506 | 2015-12-09 |
| 1073902284 | Brett Adams | Audiologist-Hearing Aid Fitter | 2643 Patterson Rd Ste 503, Grand Junction, CO 81506 | 2015-01-12 |
| 1942625116 | Pamela W Kreps | Hearing Instrument Specialist | 759 Horizon Dr Ste E, Grand Junction, CO 81506 | 2014-02-25 |
| 1962779249 | Premere Rehab LLC | Occupational Therapist | 625 271/2 Road, Grand Junction, CO 81506 | 2011-11-30 |
| Find all providers in zip 81506 | ||||
| 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 |
|---|---|---|---|---|
| 1336458694 | Whitney Boyle Wright | Dentist | 2794 Cortland Ave, Grand Junction, CO 81506-8435 | 2010-10-04 |
| 1144540444 | Jolley Smiles | Dentist | 601 28 1/4 Rd Unit E, Grand Junction, CO 81506-6022 | 2010-06-09 |
| 1346461209 | Dave F. Proietti,dds, P.C. | Dentist | 2558 F Rd, Grand Junction, CO 81505-1422 | 2007-05-01 |
| 1740401694 | Brian J Burton | Dentist | 2640 Patterson Rd, Grand Junction, CO 81506-1900 | 2007-05-01 |
| 1932258233 | Allan Hymas | Dentist | 1190 Bookcliff Ave Unit 202, Grand Junction, CO 81501-8159 | 2007-01-09 |
| 1083670020 | Dave Frank Proietti | Dentist | 1300 N 7th St, Suite 2, Grand Junction, CO 81501-3062 | 2006-04-26 |
| 1154675874 | Zachary Paul Pitcher | Dentist | 601 28 1/4 Rd Unit E, Grand Junction, CO 81506-6022 | 2012-11-02 |
| 1508190422 | Brian J Burton Dmd Ms PC | Dentist | 2640 Patterson Rd, Grand Junction, CO 81506-1900 | 2009-09-24 |
| 1437383205 | Embraceable LLC | Dentist | 2650 North Ave Unit 101, Grand Junction, CO 81501-6403 | 2009-05-08 |
| 1760694459 | Mesa Orthodontics | Dentist | 1190 Bookcliff Ave Unit 202, Grand Junction, CO 81501-8159 | 2007-05-04 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81506 |
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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.