Individual
DR. JAMES HARRIS JENNINGS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
901 E 21ST ST, SUITE B, CLOVIS, NM 88101-4492
(505) 762-4794
(505) 762-1529
Mailing address
PO BOX 1774, CLOVIS, NM 88102-1774
(505) 762-4794
(505) 762-1529
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NM1298
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006411
DORAL DENTAL USA
NM
01
—
781742
UNITED CONCORDIA TRICARE
—
05
—
84038
—
NM
Enumeration date
11/02/2005
Last updated
04/05/2026
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