Robby Jennings Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18962 Issued in TX

Legal business name

ROBBY JENNINGS DENTISTRY

Doing business as

Shiloh Family Dental PLLC

Practice address

5011 Troup Hwy # 700
Tyler, TX 75707-1917

Phone

(903) 581-5500

Fax

(903) 581-5510

NPI assigned

Apr 20, 2012

Last updated

Apr 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily Brasher

Title

Office Manager

Phone

(903) 581-5500

Specialties & licenses 1

Addresses

Other names 1

• Shiloh Family Dental PLLC Doing business as

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1699032169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 TROUP HWY # 700",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757071917",
            "telephone_number": "903-581-5500",
            "fax_number": "903-581-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 TROUP HWY # 700",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757071917",
            "telephone_number": "903-581-5500",
            "fax_number": "903-581-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBBY JENNINGS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "BRASHER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-581-5500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shiloh Family Dental PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Justin Roach
• Tamara Roach
• Jennifer Robb, ACNP
• Mark Richard Robbins, M.D.
• Robby Jennings Dental (Tyler Family Dental)
• Robby Jennings Dentistry PLLC (Shiloh Family Dental)
• Roberson Chiropractic PLLC (Kayak Chiropractic)
• Matthew Dale Roberson, DC
• Robert Brock DDS PLLC
• Robert L. Boyne, M.D., P.a.

• General Practice Dentistry in Tyler, TX
• Providers in Tyler, 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 Apr 23, 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.