Dr. Tyler H. Jolley, Dmd PC Doing Business As Jolley Smiles

NPI #1306433883 in Fruita, Colorado

Provider Information

NPI Number: 1306433883
Entity Type: Organization
Organization Name: Dr. Tyler H. Jolley, Dmd PC Doing Business As Jolley Smiles
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Dec 30, 2020
Last Updated: Dec 31, 2020

Practice Location

Address: 206 E PABOR AVE
City: Fruita
State: Colorado
ZIP Code: 81521-2223
Phone: (970) 858-4446

Authorized Official

Name: TONJA CRONKHITE
Title: INSURANCE COORDINATOR
Phone: (970) 523-6333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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