Provider Demographics
NPI:1316942196
Name:REYES, JOCELYN PEREY (DMD)
Entity type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:PEREY
Last Name:REYES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:ERNI
Other - Last Name:PEREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:3612 W OAKRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291
Mailing Address - Country:US
Mailing Address - Phone:469-837-5343
Mailing Address - Fax:559-734-7148
Practice Address - Street 1:2161 E. PROSPERITY AVE
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274
Practice Address - Country:US
Practice Address - Phone:559-358-3911
Practice Address - Fax:559-741-9923
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA509541223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice