Organization · Type 2 NPI

Chandler Modern Dentistry and Orthodontics, LLP

General Practice Dentistry · Chandler, AZ

NPI number 1700222916 Active

Practice location

2875 W Ray Rd Ste 16
Chandler, AZ 85224-3619

Call (480) 792-1543 Map

Fax (480) 792-1544

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3 other providers at this address

Other general practice dentistry providers in Chandler

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NPI record

NPI: 1700222916
Entity type: Organization (Type 2)
Issued: May 14, 2013
Last updated: Apr 13, 2022
Status: Active

Other names

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Chandler Modern Dentistry and Orthodontics · doing business as
Chandler Modern Dentistry and Orthodontics · doing business as

Authorized official

Dr. Tyson M Jolley, DMD
Owner
(480) 792-1543

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1700222916

Chandler Modern Dentistry and Orthodontics, LLP's National Provider Identifier is 1700222916, issued on May 14, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chandler, AZ. The record was last updated on Apr 13, 2022.