Individual
THOMAS S JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2430 RESEARCH PKWY, SUITE 200, COLORADO SPRINGS, CO 80920-1093
(719) 590-7100
(719) 590-7223
Mailing address
2430 RESEARCH PKWY, SUITE 200, COLORADO SPRINGS, CO 80920-1093
(719) 590-7100
(719) 590-7223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6662
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
770176
UNITED CONCORDIA
—
Enumeration date
12/20/2005
Last updated
08/31/2009
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