Organization Active NPI

Holly G. Aylworth D.D.S.

  • General Practice Dentistry
  • Jenison, MI
National Provider Identifier
1871611152
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17297 Issued in MI
Legal business name
HOLLY G. AYLWORTH D.D.S.
Practice address
7706 Georgetown Center Dr
Jenison, MI 49428-7142
Phone
(616) 855-0005
Fax
(616) 855-0048
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Authorized official

Name
Dr. Holly G. Aylworth, D.D.S.
Title
Dentist
Phone
(616) 855-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17297 MI Primary

Addresses

Primary practice location

7706 Georgetown Center Dr
Jenison, MI 49428-7142

Mailing address

7706 Georgetown Center Dr
Jenison, MI 49428-7142
Phone (616) 855-0005

National Provider Directory

National Provider Directory

Locations

7706 Georgetown Center Dr
Jenison, MI 49428
Phone (616) 855-0005

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1871611152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7706 GEORGETOWN CENTER DR",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287142",
            "telephone_number": "616-855-0005",
            "fax_number": "616-855-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7706 GEORGETOWN CENTER DR",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287142",
            "telephone_number": "616-855-0005",
            "fax_number": "616-855-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY G. AYLWORTH D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "AYLWORTH",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "616-855-0005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.