Provider Demographics
NPI:1215285473
Name:DOOLEY, JILL CAROLINE (DDS)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:CAROLINE
Last Name:DOOLEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:CAROLINE
Other - Last Name:KOHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:159 N US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-2737
Mailing Address - Country:US
Mailing Address - Phone:561-288-8080
Mailing Address - Fax:
Practice Address - Street 1:159 N US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-2737
Practice Address - Country:US
Practice Address - Phone:561-288-8080
Practice Address - Fax:561-878-8780
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-20
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN199341223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice