Individual
DR. TIMOTHY DAVID JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
618 CHURCH ST, SUITE 520, NASHVILLE, TN 37219-2428
(615) 750-0342
(615) 986-1705
Mailing address
2859 E FOUNTAIN BLVD, COLORADO SPRINGS, CO 80910-2312
(719) 442-0071
(719) 473-5303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN-10459
CO
1223G0001X
General Practice Dentistry
Primary
27673
TX
Other
Enumeration date
06/10/2011
Last updated
07/01/2021
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