Individual
DR. JODI PEIPER TENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
708 CRABAPPLE WAY, MCKINNEY, TX 75070-6723
(972) 540-7601
Mailing address
708 CRABAPPLE WAY, MCKINNEY, TX 75070-6723
(972) 540-7601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
19522
TX
1223P0221X
Pediatric Dentistry
Primary
19522
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19522
TX LICENSE NUMBER
—
Enumeration date
10/02/2007
Last updated
11/06/2008
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