Active NPI
Julee Tae DDS PLLC
- General Practice Dentistry
- Weatherford, TX
National Provider Identifier
1700632510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- JULEE TAE DDS PLLC
- Practice address
- 1420 S Main St
Weatherford, TX 76086-5531 - Phone
- (682) 350-0777
- NPI assigned
- Apr 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julee Tae
- Title
- Owner
- Phone
- (703) 380-2264
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1420 S Main St
Weatherford, TX 76086-5531
Mailing address
1420 S Main St
Weatherford, TX 76086-5531
Phone (682) 350-0777
National Provider Directory
National Provider DirectoryLocations
1420 S Main St
Weatherford, TX 76086
Phone (682) 350-0777
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Virginia Beach, VA
- NPI 1083024129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713916800000",
"number": "1700632510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 S MAIN ST",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760865531",
"telephone_number": "682-350-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 S MAIN ST",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760865531",
"telephone_number": "682-350-0777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULEE TAE DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-24",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A",
"authorized_official_last_name": "TAE",
"authorized_official_first_name": "JULEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-380-2264"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.