Provider Demographics
NPI:1417828773
Name:JVS DMD LLC
Entity type:Organization
Organization Name:JVS DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPERLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:503-858-7894
Mailing Address - Street 1:4811 10TH ST STE 500
Mailing Address - Street 2:
Mailing Address - City:GREAT BEND
Mailing Address - State:KS
Mailing Address - Zip Code:67530-3252
Mailing Address - Country:US
Mailing Address - Phone:620-792-5523
Mailing Address - Fax:
Practice Address - Street 1:4811 10TH ST STE 500
Practice Address - Street 2:
Practice Address - City:GREAT BEND
Practice Address - State:KS
Practice Address - Zip Code:67530-3252
Practice Address - Country:US
Practice Address - Phone:620-792-5523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental