JLS Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21026 Issued in TX

Legal business name

JLS DENTAL PLLC

Practice address

128 Nacogdoches St
Center, TX 75935-3852

Phone

(936) 427-9070

NPI assigned

Feb 9, 2016

Last updated

Feb 9, 2016By 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. Thomas YoungbloodNPI 1760542245

Title

Owner

Phone

(432) 553-3886

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Thomas A. Youngblood, D.D.S.

  • Dentist
  • Center, TX
  • NPI 1760542245
  Authorized official Same address or phone
• Mireya Noemi Martinez, DDS

  • Dentist
  • Center, TX
  • NPI 1801318795
  NPD (past)
• Philip Taylor Reynolds, DDS

  • General Practice Dentistry
  • Center, TX
  • NPI 1700043718
  NPD (past)

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1871951541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 NACOGDOCHES ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 NACOGDOCHES ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353852",
            "telephone_number": "936-427-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "YOUNGBLOOD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-553-3886",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlie Margret Jacobs, FNP-C
• David Michael Jacobs, LVN
• Janet Kay Jahnke, RN
• Jane D. Todd, M.D. (Center Recovery Center)
• Jennings Place Inc.
• Courtney Johnson, LVN
• Jo Ann Jones
• Juliana B. Alindada,MD,PA
• Seonghak Jung, MS, ATC, LAT
• K & I Therapy Services LLC

• General Practice Dentistry in Center, TX
• Providers in Center, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.