Individual
DR. JENNIFER L PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
207 ROME AVE, PIEDMONT, AL 36272-1919
(256) 447-6071
Mailing address
207 ROME AVE, PIEDMONT, AL 36272-1919
(256) 447-6071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D.007561-C1
AL
Other
Enumeration date
05/26/2023
Last updated
10/02/2025
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