# JENNINGS DENTISTRY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Odon Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891984522
- **Authorized official:** DR. MICHELLE LYNN JENNINGS DDS (OWNER/DENTIST)
- **Authorized official phone:** (812) 636-4334

## Contact information

- **Practice address:** 420 N WEST ST, ODON, IN 47562-1036
- **Practice address phone:** (812) 636-4334
- **Practice address fax:** (812) 636-8325
- **Mailing address:** 420 N WEST ST, ODON, IN 47562-1036
- **Mailing address phone:** (812) 636-4334
- **Mailing address fax:** (812) 636-8325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12010880A | IN | Yes |

## Other

- **Enumeration date:** 10/18/2007
- **Last updated:** 10/18/2007