Individual
DR. JENNIFER MICHELLE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
233 S 13TH ST, LINCOLN, NE 68508-2017
(712) 326-5340
Mailing address
209 PARKVIEW DR, COUNCIL BLUFFS, IA 51503-5300
(712) 326-5340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08831
IA
1223G0001X
General Practice Dentistry
7879
NE
Other
Enumeration date
07/05/2011
Last updated
08/13/2025
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