Organization
THOMAS M JENEARY DDS PC
Active
Other names
Jeneary Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JENEARY DDS (DENTIST)
(712) 546-4556
Entity
Organization
Contact information
Practice address
827 HOLTON DRIVE, LE MARS, IA 51031
(712) 546-4556
(712) 546-4568
Mailing address
827 HOLTON DRIVE, LE MARS, IA 51031
(712) 546-4556
(712) 546-4568
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7123
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23637
BLUE DENTAL
—
01
—
236372
DELTA DENTAL
—
Enumeration date
07/23/2007
Last updated
04/20/2018
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