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Active NPI 1568971406 Individual Practitioner Male Practitioner

Dr. Tyson Max Jolley , DMD

Dentist - General Practice • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Tyson Jolley, DMD is a registered healthcare professional specializing in Dentist - General Practice in Phoenix, AZ. Practice services are available at 4803 E RAY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4803 E Ray Rd
P002c

Phoenix, AZ 850446496

Telephone 4807554455
Associated Practice Facility / Clinic
🏢 Foothills Smiles, Llp Facility NPI 1831493592

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.2 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
483 Specialists

Practicing in Phoenix, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ 9783

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Jordan Newman , DMD

Dentist - General Practice

NPI 1225767700

Doctor of Dental Medicine

Benjamin Chiou

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1447706122
Dr. Megan Do , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1780352120

Doctor of Dental Surgery

Grace Chang

Dentist - Pediatric Dentistry

NPI 1871174243
NPI 1942986187

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2017

Registered at 4803 E RAY RD, P002C, PHOENIX, AZ 850446496 (Tel: 4807554455)

📍
Updated Business Mailing Address September 22, 2017

Registered at 4803 E RAY RD # P002C, PHOENIX, AZ 850446496 (Tel: 4807554455)

👤
Provider Name / Credentials Updated September 22, 2017

Recorded as TYSON JOLLEY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2017

Dentist (License #9783 in AZ)

🟢
Initial NPI Registration & Enumeration September 22, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568971406
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2017
Last Update: September 22, 2017
Sole Proprietor: No

Mailing Address

4803 E Ray Rd # P002c

Phoenix, AZ 850446496

Phone: 4807554455

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.