Jilly Shao, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

30608 Issued in TX

Practice address

2320 B F Terry Blvd Ste 100
Rosenberg, TX 77471-6379

Phone

(329) 688-6508

Fax

(281) 762-7359

NPI assigned

Oct 4, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jamm Dental Solutions, PLLC

  • Dental Clinic/Center
  • Rosenberg, TX
  • NPI 1912465519
  NPD Authorized official

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1396097044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18135 BELTRESS CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072994",
            "telephone_number": "832-641-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 B F TERRY BLVD STE 100",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774716379",
            "telephone_number": "329-688-6508",
            "fax_number": "281-762-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAO",
        "first_name": "JILLY",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jelisa Denae Scott, BCBA
• Cheryl Ann Scuadroni, BCBA
• Kelleen Seitz, LPC
• Seraphic Hearts LLC
• Shaikh Daniyal LLC
• Shandra R Shaver
• Jasmine Renae Shaw, RBT
• Kari Shea, RPH
• Nadia Sias
• Siercam Healthcare Services, LLC

• Dentist in Rosenberg, TX
• Providers in Rosenberg, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.