Organization
KEVIN D. JENNINGS DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN DEWITT JENNINGS DDS (OWNER)
(757) 523-9002
Entity
Organization
Contact information
Practice address
211 PROVIDENCE RD STE 11, CHESAPEAKE, VA 23325-4687
(757) 523-9002
(757) 523-9005
Mailing address
211 PROVIDENCE RD STE 11, CHESAPEAKE, VA 23325-4687
(757) 523-9002
(757) 523-9005
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
6444
VA
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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