TDCJEROME PLLC (NPI# 1104229913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104229913 |
| Entity Type | Organization |
| Organization Name | TDCJEROME PLLC |
| Other Organization Name | TODAY'S DENTAL CARE |
| Practice Address |
119 Country Ln Jerome ID 83338-6147 |
| Practice Telephone | 2083248861 |
| Practice Fax Number | 2083248899 |
| Mailing Telephone | 2083248861 |
| Mailing Fax Number | 2083248899 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |
| Authorized Official Name | DON S WYATT (OWNER) |
| Authorized Official Telephone | 2083248861 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D4052 | ID | Dental Providers |
| Other Name | Type Code |
|---|---|
| Today's Dental Care | Doing Business As Name - Organization |
| Street Address |
119 COUNTRY LN |
| City | JEROME |
| State | ID |
| Zip Code | 83338-6147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689844219 | William H Lloyd | Dentist | 119 Country Ln, Jerome, ID 83338-6147 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336709 | Family Health Services Pharmacy | Pharmacy | 218 W. Nez Perce, Jerome, ID 83338 | 2020-11-03 |
| 1811391626 | Summit Therapy Services | In Home Supportive Care | 113 East Ave. F, Jerome, ID 83338 | 2014-10-22 |
| 1952645285 | Readings Community Pharmacy Inc | Pharmacy | 133 West A, Jerome, ID 83338 | 2012-11-27 |
| 1801121298 | Yolanda S. Sedano | Physician Assistant | 132 5th Ave West, Jerome, ID 83338 | 2009-10-02 |
| 1295898310 | Ronald Gail Hendrickson | Dentist | 128 South Adams, Jerome, ID 83338 | 2006-12-19 |
| 1316035512 | Johnson Chiropractic Clinic | Chiropractor | 600 N Lincoln Ave, Jerome, ID 83338 | 2006-10-11 |
| 1265527725 | Lon M. Egbert, P.C. | Specialist/Technologist | 128 5th Ave West, Jerome, ID 83338 | 2006-10-03 |
| 1992898605 | St Benedicts Family Medical Center | Home Health | 414 N Lincoln, Suite 1, Jerome, ID 83338 | 2006-10-02 |
| 1790231355 | Lexa Marie Balling | Pharmacist | 2680 S Lincoln Ave, Jerome, ID 83338 | 2016-09-01 |
| 1922037530 | St Benedicts Family Medical Center | Clinic/Center | 115 5th Ave W, Jerome, ID 83338-1824 | 2006-07-03 |
| Find all providers in zip 83338 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194344580 | Robert Jay Ault | Dentist | 11358 Oakwood Dr, Jerome, MI 49249-9804 | 2020-04-15 |
| 1144516733 | Newell Tyler Elison | Dentist | 1555 S Lincoln Ave, Jerome, ID 83338-6136 | 2011-06-22 |
| 1689844219 | William H Lloyd | Dentist | 119 Country Ln, Jerome, ID 83338-6147 | 2008-03-11 |
| 1295898310 | Ronald Gail Hendrickson | Dentist | 128 South Adams, Jerome, ID 83338 | 2006-12-19 |
| 1568809853 | Robert William Hale | Dentist | 143 E Main St, Jerome, ID 83338-2332 | 2013-05-28 |
| 1568725703 | Jeffrey Ryan Palmer | Dentist | 143 E Main St, Jerome, ID 83338-2332 | 2012-06-22 |
| 1265698039 | Samuel C Page | Dentist | 143 E Main St, Jerome, ID 83338-2332 | 2008-07-31 |
| 1760494249 | Canyon Falls Dental P.l.l.c. | Dentist | 143 E Main St, Jerome, ID 83338-2332 | 2006-08-12 |
| 1801806641 | Mckay D Barlow | Dentist | 143 E Main St, Jerome, ID 83338-2332 | 2006-08-08 |
| 1245295302 | David Matthew Bond | Dentist | 143 E Main St, Jerome, ID 83338-2332 | 2006-04-19 |
| Find all providers in JEROME | ||||
Please comment or provide details below to improve the information on TDCJEROME PLLC.
| 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.