Provider Demographics
NPI:1265779532
Name:JAYME DENTAL MANAGEMENT PARTNERS, LLC
Entity type:Organization
Organization Name:JAYME DENTAL MANAGEMENT PARTNERS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF COMPANY
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:513-460-3877
Mailing Address - Street 1:112 JEFFERSON AVE
Mailing Address - Street 2:SUITE 002
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-1861
Mailing Address - Country:US
Mailing Address - Phone:614-222-4262
Mailing Address - Fax:
Practice Address - Street 1:112 JEFFERSON AVE
Practice Address - Street 2:SUITE 002
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-1861
Practice Address - Country:US
Practice Address - Phone:614-222-4262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30. 021781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty