Individual
DR. STEPHANIE Q. JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5317 HIGHGATE DR STE 118, DURHAM, NC 27713-6622
(919) 361-0500
(919) 544-4990
Mailing address
5317 HIGHGATE DR STE 118, DURHAM, NC 27713-6622
(919) 361-0500
(919) 544-4990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6714
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992783815
ORGANIZATIONAL NPI
NC
Enumeration date
09/13/2006
Last updated
07/08/2007
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