JH Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JH DENTAL

Practice address

42104 N Venture Dr
Anthem, AZ 85086-3823

Phone

(623) 551-6300

NPI assigned

Jun 27, 2018

Organization subpart

No

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

Authorized official

Name

Jacob Holly, DMDNPI 1336678283

Title

Dentist

Phone

(623) 692-4774

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Holly

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1336678283
  NPD Authorized official

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1780179218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9533 W BLUE SKY DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853838741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42104 N VENTURE DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863823",
            "telephone_number": "623-551-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "HOLLY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "623-692-4774",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrity Wound Healing Solutions LLC
• Interaactive Speech Therapy
• Chelsea Lynn Jackson
• Rodney Mark Jackson, MD,FAAP
• Sadaf Jamil, DO
• JL Shaughnessy Dental Associates
• John C Lincoln LLC
• John C. Lincoln, LLC
• Tad Johnson-Borowski
• Danielle Lynn Johnson, M.ED

• Dental Clinic/Center in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.