DR. TYSON MAX JOLLEY DMD
NPI 1568971406
Dentist - General Practice in Phoenix, AZ

Q: What is Tyson Jolley's NPI number?

The NPI number for Tyson Jolley is 1568971406. It was assigned to this individual provider in the NPPES registry on September 22, 2017.

Q: What is Tyson Jolley'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 Tyson Jolley was last updated on September 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 22, 2017

4803 E RAY RD, P002C, PHOENIX, AZ 85044(480) 755-4455 Get Directions Write a Review

NPPES record last updated: September 22, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Dr. Tyson Max Jolley Dmd NPPES

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

DR. TYSON MAX JOLLEY DMD (NPI 1568971406) is an individual general practice provider in Phoenix, Arizona, licensed in Arizona (9783) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1568971406

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TYSON MAX JOLLEYCredential: DMD

Location Address4803 E RAY RD, P002CPhoenix, AZ 85044-6496

Mailing Address4803 E Ray Rd # P002cPhoenix, AZ 85044-6496 · (480) 755-4455 · Fax (480) 893-7535

Phone(480) 755-4455

Sole ProprietorNo

Enumeration DateSeptember 22, 2017

✔ NPI 1568971406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AZ · 9783

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.

4803 E RAY RD, Phoenix, AZ 85044

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN CHIOU

Dentist (Orthodontics and Dentofacial Orthopedics)

4803 E RAY RD, P002C
PHOENIX, AZ 85044

Maricopa County (480) 755-4455

BENJAMIN RIPLEY HILTON D.D.S.

Dentist

4803 E RAY RD, STE P002C
PHOENIX, AZ 85044

Maricopa County (208) 484-2376

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 Tyson Jolley's NPI number?

The NPI number for Tyson Jolley is 1568971406. It was assigned to this individual provider in the NPPES registry on September 22, 2017.

Where is Tyson Jolley located?

Tyson Jolley practices at 4803 E Ray Rd P002c, Phoenix, AZ 85044. The listed phone number is (480) 755-4455.

What is Tyson Jolley's specialty?

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

What insurance does Tyson Jolley accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Alabama and 14 other insurers list Tyson Jolley 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 Tyson Jolley was last updated on September 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.