Provider Demographics
NPI:1275298606
Name:JODI W. AMES DDS, LLC
Entity Type:Organization
Organization Name:JODI W. AMES DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JODY
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:AMES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:937-372-8502
Mailing Address - Street 1:157 S. PROGRESS DR. SUITE B
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385
Mailing Address - Country:US
Mailing Address - Phone:937-372-8502
Mailing Address - Fax:937-504-1068
Practice Address - Street 1:157 S. PROGRESS DR. SUITE B
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385
Practice Address - Country:US
Practice Address - Phone:937-372-8502
Practice Address - Fax:937-504-1068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty