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Individual

NOLAN JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
901 W 38TH ST STE 410, AUSTIN, TX 78705-1162
(512) 992-1378
(512) 992-1379
Mailing address
901 W 38TH ST STE 410, AUSTIN, TX 78705-1162
(512) 992-1378
(512) 992-1379

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
018001888
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
34660
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
34660
TX

Other

Enumeration date
10/25/2013
Last updated
04/13/2023
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