Individual
JORDAN MICHAEL JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1941 W BOULEVARD, KOKOMO, IN 46902-6027
(765) 453-6200
Mailing address
20251 JAMES RD, NOBLESVILLE, IN 46062-9048
(812) 607-0597
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012319A
IN
1223G0001X
General Practice Dentistry
DN 21241
FL
Other
Enumeration date
06/06/2015
Last updated
04/02/2021
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