Individual
DR. JENNIFER ENGLEBRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
656 MAIN ST, PORT JEFFERSON, NY 11777-2203
(631) 928-9898
Mailing address
89 FARM RD W, WADING RIVER, NY 11792-1752
(631) 495-2029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054961
NY
Other
Enumeration date
07/24/2010
Last updated
07/24/2010
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