Organization
JLRL, LLC
Active
Other names
Jennings Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MATTHEW JENNINGS DMD (DENTIST/OWNER)
(662) 843-2955
Entity
Organization
Contact information
Practice address
716 FIRST STREET, CLEVELAND, MS 38732
(662) 843-2955
(662) 843-2957
Mailing address
716 FIRST STREET, CLEVELAND, MS 38732
(662) 843-2955
(662) 843-2957
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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