Provider Demographics
NPI:1952491912
Name:JARMAN DENTISTRY LLC
Entity Type:Organization
Organization Name:JARMAN DENTISTRY LLC
Other - Org Name:DENTAL HEALTH PARTNERS
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILARY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:JARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:605-996-1316
Mailing Address - Street 1:115 W 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:MITCHELL
Mailing Address - State:SD
Mailing Address - Zip Code:57301
Mailing Address - Country:US
Mailing Address - Phone:605-996-1316
Mailing Address - Fax:605-996-6629
Practice Address - Street 1:115 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:MITCHELL
Practice Address - State:SD
Practice Address - Zip Code:57301
Practice Address - Country:US
Practice Address - Phone:605-996-1316
Practice Address - Fax:605-996-6629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
921551OtherUNITED CONCORDIA
921551OtherUNITED CONCORDIA