Organization Active NPI

Jennifer I. Dole DDS Inc

  • Dentist
  • Novato, CA
National Provider Identifier
1336967678
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JENNIFER I. DOLE DDS INC
Doing business as
Healthy Smiles of Marin
Practice address
190 San Marin Dr Ste B
Novato, CA 94945-1218
Phone
(415) 898-6042
Fax
(415) 895-6925
NPI assigned
Sep 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Dr. Jennifer Dole, DDSNPI 1225255342
Title
Owner
Phone
(415) 898-6042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

190 San Marin Dr Ste B
Novato, CA 94945-1218

Mailing address

190 San Marin Dr Ste B
Novato, CA 94945-1218
Phone (415) 898-6042

Other names 1

  • Healthy Smiles of Marin Doing business as

National Provider Directory

National Provider Directory

Locations

190 San Marin Dr
Ste B
Novato, CA 94945
Phone (415) 898-6042

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1336967678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 SAN MARIN DR STE B",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949451218",
            "telephone_number": "415-898-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SAN MARIN DR STE B",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949451218",
            "telephone_number": "415-898-6042",
            "fax_number": "415-895-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER I. DOLE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "DOLE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-898-6042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Smiles of Marin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.