Robby Jennings Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18962 Issued in TX

Legal business name

ROBBY JENNINGS DENTISTRY PLLC

Doing business as

Shiloh Family Dental

Practice address

5011 Troup Hwy # 700
Tyler, TX 75707-1917

Phone

(903) 581-5500

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. William Robert Jennings Jr., DDSNPI 1902829070

Title

Owner

Phone

(903) 581-5500

Specialties & licenses 1

Addresses

Other names 1

• Shiloh Family Dental Doing business as

Tax ID family

Robby Jennings Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Robby Jennings Dental

  dba Tyler Family Dental

  • Dentist
  • Tyler, TX
  • NPI 1255519575
  NPD tax ID

Practitioners 1

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

• William Robert Jennings, DDS

  • General Practice Dentistry
  • Tyler, TX
  • NPI 1902829070
  NPD (past) Authorized official

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1972812667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 TROUP HWY # 700",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757071917",
            "telephone_number": "903-581-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 TROUP HWY # 700",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757071917",
            "telephone_number": "903-581-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBBY JENNINGS DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-581-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shiloh Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamara Roach
• Jennifer Robb, ACNP
• Mark Richard Robbins, M.D.
• Robby Jennings Dental (Tyler Family Dental)
• Robby Jennings Dentistry (Shiloh Family Dental PLLC)
• Roberson Chiropractic PLLC (Kayak Chiropractic)
• Matthew Dale Roberson, DC
• Robert Brock DDS PLLC
• Robert L. Boyne, M.D., P.a.
• Robert M. Sperry, PH.D., Inc. (Robert Sperry & Associates)

• General Practice Dentistry in Tyler, TX
• Providers in Tyler, 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 Sep 29, 2010; 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.