Jeromy W. Dauphin PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24108 Issued in TX

Legal business name

JEROMY W. DAUPHIN PLLC

Practice address

2113 N Loy Lake Rd
Sherman, TX 75090-2808

Phone

(903) 893-4224

Fax

(903) 868-9493

NPI assigned

Jan 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jeromy Wade Dauphin, DDS

Title

Owner

Phone

(903) 893-4224

Specialties & licenses 1

Addresses

Other names 1

• Jeromy W. Dauphin DDS Doing business as

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1285905935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 N LOY LAKE RD",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902808",
            "telephone_number": "903-893-4224",
            "fax_number": "903-868-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 N LOY LAKE RD",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902808",
            "telephone_number": "903-893-4224",
            "fax_number": "903-868-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROMY W. DAUPHIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "DAUPHIN",
        "authorized_official_first_name": "JEROMY",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-893-4224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeromy W. Dauphin DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard D Jelsma, MD
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• Wesley Jenks, DMD
• Jed Jennings, OTR
• M. Sue Jennings
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• Larry Jewell, CRNA RRT
• JHS Operations, LLC
• Joangeli Z Kasper, Ms, LPC Counseling Services
• Jobeth Augustyniak DO, PLLC

• All providers in Sherman, TX
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.