DR. JACLYN BLYHOLDER (NPI# 1780139659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780139659 |
| Entity Type | Individual |
| Full Name | DR. JACLYN BLYHOLDER |
| Credential | D.M.D. |
| Practice Address |
639 S. Hillside Wichita KS 67211 |
| Practice Telephone | 3166844921 |
| Mailing Telephone | 3166844921 |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 61247 | KS | Dental Providers |
| Street Address |
639 S. HILLSIDE |
| City | WICHITA |
| State | KS |
| Zip Code | 67211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162683 | Karlee Dawn Gluszek | Specialist/Technologist | 1947 S Lulu St, Wichita, KS 67211 | 2017-09-07 |
| 1356715379 | Revitalize Physical Therapy LLC | Physical Therapist | 227 S Ida St, Wichita, KS 67211 | 2015-11-16 |
| 1750753232 | Accurate Sleep Lab | Clinical Medical Laboratory | 411 S Pattie St Suite 2, Wichita, KS 67211 | 2015-10-23 |
| 1841628013 | Joseph Michael Stech | Family Medicine | 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 | 2013-10-24 |
| 1902166648 | Debby Elwood | Counselor | 830 S. Hillside, Wichita, KS 67211 | 2012-05-28 |
| 1205038726 | Patricia (pat) J. Eagleman | Social Worker | 333 S. Greenwood, Wichita, KS 67211 | 2007-06-05 |
| 1114147717 | Rodolfo A Argosino Md Pa | Family Medicine | 1148 S Hillside, 106, Wichita, KS 67211 | 2007-04-26 |
| 1801911086 | Susan Wright Rockley | Physical Therapist | 2535 East Lincoln, Wichita, KS 67211 | 2007-03-20 |
| 1578618021 | Dependable Assisted Living | Home Health | 401 S Greenwood St, Wichita, KS 67211 | 2007-01-24 |
| 1982759981 | Unique Feet Pedorthics Inc | Orthotist | 750 South Hillside, Wichita, KS 67211 | 2007-01-23 |
| Find all providers in zip 67211 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778576 | Kelsie Cole | Dentist | 415 S 119th St W, Wichita, KS 67235-1816 | 2020-07-27 |
| 1851909329 | Michael Jay Somma | Dentist | 2838 N. Oliver Ave, Wichita, KS 67220 | 2020-07-21 |
| 1356966352 | Paul Lewis | Dentist | 301 N Main St Ste 1420, Wichita, KS 67202-4814 | 2020-06-15 |
| 1861014367 | Smile Craft Dental, LLC | Dentist | 5315 E 21st St N Ste 104, Wichita, KS 67208-1600 | 2020-05-07 |
| 1851937650 | Precision Dental West, LLC | Dentist | 3900 W Central Ave Ste 100, Wichita, KS 67203-4928 | 2019-11-27 |
| 1629622352 | Mason and Mason Dentistry, Pa | Dentist | 201 S Towne East Mall Dr Ste 101, Wichita, KS 67207-1068 | 2019-07-31 |
| 1043871445 | Avery Brooke Beard | Dentist | 13121 E 21st St N Ste 107, Wichita, KS 67230-7403 | 2019-06-26 |
| 1912565011 | Cara Lee Detmer | Dentist | 8404 W 13th St N Ste 200, Wichita, KS 67212-2978 | 2019-06-03 |
| 1295211910 | Emily M Chastain | Dentist | 3213 N. Ridge Rd, Wichita, KS 67205 | 2018-07-16 |
| 1972000420 | Newmarket Smiles Dentistry | Dentist | 10240 W 29th St N Ste 102, Wichita, KS 67205-7914 | 2018-04-11 |
| Find all providers in WICHITA | ||||
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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.