JLS DENTAL PLLC (NPI# 1871951541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871951541 |
| Entity Type | Organization |
| Organization Name | JLS DENTAL PLLC |
| Practice Address |
128 Nacogdoches St Center TX 75935-3852 |
| Practice Telephone | 9364279070 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | DR. THOMAS YOUNGBLOOD (OWNER) |
| Authorized Official Telephone | 4325533886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
21026 | TX | Dental Providers |
| Street Address |
128 NACOGDOCHES ST |
| City | CENTER |
| State | TX |
| Zip Code | 75935-3852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700043718 | Philip Taylor Reynolds | Dentist | 128 Nacogdoches St, Center, TX 75935-3852 | 2008-05-19 |
| 1801318795 | Mireya Noemi Martinez | Dentist | 128 Nacogdoches St, Center, TX 75935-3852 | 2017-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499433 | Bianca J Bennett | Licensed Vocational Nurse | 1108 Sampson St, Center, TX 75935 | 2018-09-01 |
| 1326528118 | Shellie Burns | Occupational Therapist | 11128 Hwy & West, Center, TX 75935 | 2018-08-21 |
| 1497244644 | Seonghak Jung | Specialist/Technologist | 411 Nacogdoches, 6, Center, TX 75935 | 2018-05-03 |
| 1902306756 | Katina Hubbard | Licensed Vocational Nurse | 3752 Fm 2026, Center, TX 75935 | 2018-02-19 |
| 1467952432 | Crystal Allyn Collins | Registered Nurse | 6460 State Highway 147, Center, TX 75935 | 2018-02-16 |
| 1831635614 | Candace Carter | Nurse Practitioner | 630 Hurst Street, Center, TX 75935 | 2017-01-17 |
| 1750779542 | Aurora Concepts, Pllc | Family Medicine | 233 Hurst Street, Suite B, Center, TX 75935 | 2014-12-31 |
| 1295032464 | Tenaha Creek LLC | Assisted Living Facility | 1468 Loop 500, Center, TX 75935 | 2011-02-23 |
| 1891878161 | Julius Neal Nethery | Dentist | 222 Porter St, Center, TX 75935 | 2006-10-23 |
| 1972512598 | Juliana B. Alindada | Specialist | 602 Hurst St., Suite 3, Center, TX 75935 | 2006-08-05 |
| Find all providers in zip 75935 | ||||
| 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 |
|---|---|---|---|---|
| 1740573575 | Kyle Shaughnessy Coffin | Dentist | 514 Tenaha St, Center, TX 75935-3402 | 2011-05-26 |
| 1700043718 | Philip Taylor Reynolds | Dentist | 128 Nacogdoches St, Center, TX 75935-3852 | 2008-05-19 |
| 1134201221 | Darrell John Trzpuc | Dentist | 111 Main Street East, Center, ND 58530-1215 | 2006-10-19 |
| 1013007566 | Dr. D. J. Trzpuc, Dds | Dentist | 111 East Main St, Center, ND 58530-1215 | 2006-10-13 |
| 1700249091 | Windham Family Dental of Shelby County, Pllc | Dentist | 406 Cora St, Center, TX 75935-3610 | 2016-04-04 |
| 1215263199 | Danny Paul Windham Dds PC | Dentist | 406 Cora St, Center, TX 75935-3611 | 2009-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447537 | Azle Cube Smiles Pllc | Dentist | 100 Park Plc Ste 224, Azle, TX 76020 | 2020-11-04 |
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1699375543 | Long Family Dental | Dentist | 4470 E Highway 287 Ste 1200, Midlothian, TX 76065-7556 | 2020-10-29 |
| 1548860992 | Vequinox Pllc | Dentist | 2605 N Shary Rd, Mission, TX 78574-3221 | 2020-10-27 |
| 1952900466 | Gwendolyn Kines-mcleod Dds,pllc | Dentist | 401 N Ann St Ste B, Terrell, TX 75160-2549 | 2020-10-26 |
| 1609476183 | Texas Saas Pa | Dentist | 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 | 2020-10-26 |
| 1295334803 | Jpm Dental of Spring | Dentist | 7312 Louetta Rd Ste B119, Spring, TX 77379-6176 | 2020-10-23 |
| 1750980025 | Neda Hani Tabaei Zavareh | Dentist | 10900 Twisted Elm Dr, Austin, TX 78726-2369 | 2020-10-19 |
| 1710586029 | Whitestone Dental Center Pllc | Dentist | 500 W Whitestone Blvd Ste 102, Cedar Park, TX 78613-2271 | 2020-10-19 |
| 1841899226 | Calvin Eastwood Dds Pllc | Dentist | 3088 Basswood Blvd # 150, Fort Worth, TX 76137-1676 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
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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.