Basic Information
| Provider Information | |||||||||
| NPI: | 1710995741 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TOUHEY | ||||||||
| FirstName: | JILL | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2226W WEST ATLANTIC AVE | ||||||||
| Address2: | NORTHWESTERN MANAGEMENT SERVICES | ||||||||
| City: | DELRAY BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33445 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5613308330 | ||||||||
| FaxNumber: | 5613303840 | ||||||||
| Practice Location | |||||||||
| Address1: | 8440 W BROWARD BLVD | ||||||||
| Address2: | |||||||||
| City: | PLANTATION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544728707 | ||||||||
| FaxNumber: | 9544728718 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/04/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | DN17115 | FL | Y | Dental Providers | Dentist | General Practice |
No ID Information.