Individual
JEFFREY FENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1923 MARSHA SHARP FWY, LUBBOCK, TX 79415-4036
(806) 589-0081
Mailing address
1923 MARSHA SHARP FWY, LUBBOCK, TX 79415-4036
(806) 589-0081
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30876
TX
122300000X
Dentist
9669
KY
122300000X
Dentist
D009399
AZ
Other
Enumeration date
05/23/2014
Last updated
04/18/2016
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