Jasmin Henville DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22108 Issued in MA

Legal business name

JASMIN HENVILLE DMD PC

Practice address

434 Southbridge St Ste B
Auburn, MA 01501-4423

Phone

(508) 832-8705

NPI assigned

May 23, 2012

Last updated

May 23, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jasmin Henville

Title

Owner

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Valcourt, DMD

  • General Practice Dentistry
  • Auburn, MA
  • NPI 1245527241
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1033479019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 SOUTHBRIDGE ST STE B",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015014423",
            "telephone_number": "508-832-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASMIN HENVILLE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "HENVILLE",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "22108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Imperioli, O.D.
• Justine Caron Isakson, LMHC
• Sara J Jacobson, M.D.
• Jessica Bove Jamison, LMHC
• Thomas E Jaquith-Houston, M.D.
• Usman Javed
• Rachelle Jenkins, MSPT
• Jill M. O'Connell, DMD, PC
• Kaitlyn Johnson
• Tad Joniec, HIS

• General Practice Dentistry in Auburn, MA
• Providers in Auburn, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.