Individual
DR. JOSHUA STEVEN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
210 FAIRVIEW RD, ELLENWOOD, GA 30294-2704
(770) 474-3418
Mailing address
210 FAIRVIEW RD, ELLENWOOD, GA 30294-2704
(770) 474-3418
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6055
AL
1223G0001X
General Practice Dentistry
Primary
DN014652
GA
Other
Enumeration date
08/13/2013
Last updated
11/04/2020
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