Individual
JUDITH G. JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1035 ALTO STREET, SANTA FE, NM 87502-5395
(505) 984-5048
(505) 983-4751
Mailing address
PO BOX 5395, SANTA FE, NM 87502-5395
(505) 984-5048
(505) 983-4751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1239
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1459740
UNITED CONCORDIA INS.
NM
05
—
80341
—
NM
05
—
9175776
—
NM
01
—
DD1239
DENTIST LICENSE NUMBER
NM
Enumeration date
12/01/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us