Jaroslav Dolezal D.D.S.,P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18057 Issued in TX

Legal business name

JAROSLAV DOLEZAL D.D.S.,P.A.

Practice address

215 E 1St St
Alice, TX 78332-4821

Phone

(361) 668-4208

Fax

(361) 668-1025

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jaroslav Dolezal, D.D.S.NPI 1336252212

Title

President

Phone

(361) 668-4208

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jaroslav Dolezal, D.D.S.

  • General Practice Dentistry
  • Alice, TX
  • NPI 1336252212
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457458655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 1ST ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324821",
            "telephone_number": "361-668-4208",
            "fax_number": "361-668-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 1ST ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324821",
            "telephone_number": "361-668-4208",
            "fax_number": "361-668-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAROSLAV DOLEZAL D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOLEZAL",
        "authorized_official_first_name": "JAROSLAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-668-4208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INS.",
            "identifier": "866224",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc A Ibanez, MD
• Infinite PHC,LLC
• Innovation in Womens Health PLLC
• Isd Renal Inc (Alice Renal Center)
• J Barnes DO PA (The Women's Health Center of Alice)
• Joel Jaime Johnson Jr., LPC
• Jon F. Manjarris, M.D.,P.a.
• Jose Perez MD
• Nicole Marie Juarez, LCDC, LPC
• Jubilee Personal Home Care, LLC

• General Practice Dentistry in Alice, TX
• Providers in Alice, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.