NPIMap

Organization Active NPI

Dental Services of Ohio, Daniel Jolly, DDS, Inc

  • General Practice Dentistry
  • Akron, OH
National Provider Identifier
1629245170
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30021038 Issued in OH
Legal business name
DENTAL SERVICES OF OHIO, DANIEL JOLLY, DDS, INC
Practice address
1494 S Arlington Ave
Akron, OH 44306
Phone
(330) 724-7036
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Daniel Jolly, DDS
Title
PC President
Phone
(614) 473-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30021038 OH Primary

Addresses

Primary practice location

1494 S Arlington Ave
Akron, OH 44306

Mailing address

PO Box 11568
Overland Park, KS 66207-4268
Phone (913) 428-1670

Other names 1

  • ImmediaDent Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Services of Ohio James G Turk DDS Denean R Carr DDS Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

1494 S Arlington St
Akron, OH 44306
Phone (330) 724-7036

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1629245170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11568",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662074268",
            "telephone_number": "913-428-1670",
            "fax_number": "866-591-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1494 S ARLINGTON AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44306",
            "telephone_number": "330-724-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SERVICES OF OHIO, DANIEL JOLLY, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PC PRESIDENT",
        "authorized_official_telephone_number": "614-473-0400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30021038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ImmediaDent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

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