Craig R. Jolley, DMD, PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009276 Issued in WA

Legal business name

CRAIG R. JOLLEY, DMD, PS

Practice address

22224 SE 272ND St
Maple Valley, WA 98038-7420

Phone

(425) 432-1232

Fax

(425) 432-2043

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By 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

Dr. Craig Ryan Jolley, D.M.DNPI 1356474373

Title

Doctor

Phone

(425) 432-1232

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig Ryan Jolley, D.M.D.

  • General Practice Dentistry
  • Maple Valley, WA
  • NPI 1356474373
  NPD (past) Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760515696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22224 SE 272ND ST",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980387420",
            "telephone_number": "425-432-1232",
            "fax_number": "425-432-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22224 SE 272ND ST",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980387420",
            "telephone_number": "425-432-1232",
            "fax_number": "425-432-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG R. JOLLEY, DMD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOLLEY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "425-432-1232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matt Copple, PHR
• Maria Costello, LSWAIC
• Cynthia Louise Cote, M.D.
• Katie Ann Cox
• Sarah Craft, LMP
• Kelsey M Crane
• Keonna Sheri Crudup
• Sallymarie Belmonte Cuanan
• Richanne F Cunningham, FNP-C
• Taylor Lynn-Pumala Curry, ATC

• General Practice Dentistry in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• General Practice Dentistry in Washington

• 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.