Organization
J JENKINS FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN JENKINS DDS (OWNER DENTIST)
(812) 607-0597
Entity
Organization
Contact information
Practice address
1941 W BOULEVARD, KOKOMO, IN 46902-6027
(765) 453-6200
Mailing address
20251 JAMES RD, NOBLESVILLE, IN 46062-9048
(812) 607-0597
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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