Provider Demographics
NPI:1194934901
Name:ALMY, JONATHAN WYATT (DDS)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:WYATT
Last Name:ALMY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 WILLOW SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:TX
Mailing Address - Zip Code:75032-5891
Mailing Address - Country:US
Mailing Address - Phone:972-722-5612
Mailing Address - Fax:
Practice Address - Street 1:616 WILLOW SPRINGS DR
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:TX
Practice Address - Zip Code:75032-5891
Practice Address - Country:US
Practice Address - Phone:972-722-5612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX230751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice