Organization Active NPI

Julee Tae DDS PLLC

  • General Practice Dentistry
  • Weatherford, TX
National Provider Identifier
1700632510
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Apr 24, 2024

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.