Individual
MRS. JENNIFER R KREID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, PHDH
Contact information
Practice address
1365 DOUGLAS DR, CARBONDALE, IL 62901-2583
(618) 319-0415
Mailing address
2504 CHAMNESS RD, DU QUOIN, IL 62832-3117
(618) 319-0415
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.011685
IL
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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