Individual
MS. JESSICA HANCOCK RENAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
508 N GREEN RIVER RD, EVANSVILLE, IN 47715-2412
(812) 479-5000
Mailing address
508 N GREEN RIVER RD, EVANSVILLE, IN 47715-2412
(812) 479-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011438A
IN
1223G0001X
General Practice Dentistry
8890
KY
Other
Enumeration date
07/01/2010
Last updated
03/19/2013
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