Provider Demographics
NPI:1225652332
Name:THOLE, JASMYN CHRISTINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JASMYN
Middle Name:CHRISTINE
Last Name:THOLE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 S CLAIRBORNE RD STE A
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1735
Mailing Address - Country:US
Mailing Address - Phone:913-782-2231
Mailing Address - Fax:913-782-2246
Practice Address - Street 1:401 S CLAIRBORNE RD STE A
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1735
Practice Address - Country:US
Practice Address - Phone:913-782-2231
Practice Address - Fax:913-782-2246
Is Sole Proprietor?:No
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS61595122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist