Individual
DR. RANDALL STETSON JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
139 W MORRIS BLVD, MORRISTOWN, TN 37813-2233
(423) 581-4545
Mailing address
502 CLIFF ST, MORRISTOWN, TN 37814-5641
(865) 804-7951
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11778
TN
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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