Individual
DENNIS EUGENE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5553 WATERFORD LN, APPLETON, WI 54913-8468
(920) 739-7165
(920) 739-7361
Mailing address
216 E BENTON DR, APPLETON, WI 54913-8688
(920) 734-7487
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
12024
TX
1223P0700X
Prosthodontics
Primary
5806015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33792400
—
WI
Enumeration date
09/23/2006
Last updated
07/23/2007
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