Jon'S Dental Laboratory Inc.

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

License

1294 Issued in TX

Legal business name

JON'S DENTAL LABORATORY INC.

Practice address

111 Alan a Dale Cir
Denton, TX 76209-1302

Phone

(940) 453-3904

NPI assigned

Jul 18, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Louis Littmann, CDT

Title

Ceo/Certified Dental Technician

Phone

(940) 453-3904

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1932363967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ALAN A DALE CIR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762091302",
            "telephone_number": "940-453-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ALAN A DALE CIR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762091302",
            "telephone_number": "940-453-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON'S DENTAL LABORATORY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "LITTMANN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "CEO/CERTIFIED DENTAL TECHNICIAN",
        "authorized_official_telephone_number": "940-453-3904",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CDT"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "TX",
            "license": "1294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF DENTAL EXAMINERS",
            "identifier": "1294",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Johnson, COTA
• Johnathan Johnston
• Kennedy Johnston
• Leah Johnston
• Roger D Johnston, RPH
• Jonathan Delos Reyes, M.D.
• Arlesia Glaspy Jones, D.O.
• Aubrey Jones
• Breana Jones, LPC
• Chris S Jones, M.S., CCC-SLP

• Dental Laboratory in Denton, TX
• Providers in Denton, TX by specialty
• Dental Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.