DR. CORY BRYAN JAETZOLD DDS
NPI 1083718415
Dentist - General Practice in Arlington, TX

Q: What is Cory Jaetzold's NPI number?

The NPI number for Cory Jaetzold is 1083718415. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Q: What is Cory Jaetzold's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Cory Jaetzold was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 07, 2006

2131 N COLLINS, STE 415, ARLINGTON, TX 76011(817) 277-7800(817) 274-0300 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Cory Bryan Jaetzold Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CORY BRYAN JAETZOLD DDS (NPI 1083718415) is an individual general practice provider in Arlington, Texas, licensed in Texas (22735) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1083718415

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CORY BRYAN JAETZOLDCredential: DDS

Location Address2131 N COLLINS, STE 415Arlington, TX 76011

Mailing Address8430 Brittania WayDallas, TX 75243 · (214) 704-8278

Phone(817) 277-7800

Fax(817) 274-0300

Sole ProprietorNo

Enumeration DateSeptember 7, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1083718415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 22735

Definition

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.

2131 N COLLINS, Arlington, TX 76011

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cory Jaetzold's NPI number?

The NPI number for Cory Jaetzold is 1083718415. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Cory Jaetzold located?

Cory Jaetzold practices at 2131 N Collins Ste 415, Arlington, TX 76011. The listed phone number is (817) 277-7800.

What is Cory Jaetzold's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Cory Jaetzold accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 16 other insurers list Cory Jaetzold as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cory Jaetzold was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.