# DANIEL BRENT JENKS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538500657
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 12012080A | IN | — |
| 1223E0200X | Endodontics | D-5006-EN | ID | Yes |

## Other

- **Enumeration date:** 07/17/2013
- **Last updated:** 02/23/2024