Dr. Tyler H Jolley, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Grand Junction, CO. Individual provider (NPI-1).
NPI number1588763528
StatusActive
Last updated in NPPESMay 13, 2010
Details
- NPI
- 1588763528
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tyler H Jolley
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2006
- Last updated
- May 13, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 9143 | CO | Yes |
| 1223P0300X | Dentist, Periodontics | 9143 | CO | |
| 1223P0300X | Dentist, Periodontics | 53318729922 | UT | |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 53318729922 | UT |
Practice location
601 28 1/4 RdGrand Junction, CO 81506-6022
Phone 970-858-4446 · Fax 970-858-6436
Mailing address
601 28 1/4 RdGrand Junction, CO 81506-6022
Phone 970-858-4446 · Fax 970-858-6436
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All 13 Orthodontics and Dentofacial Orthopedics Dentistry providers in Grand Junction · All 4,673 providers in Grand Junction
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