Individual
DR. ANDREW CLARK JENZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8707
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7173
NE
1223G0001X
General Practice Dentistry
DN015870
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12645
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN015870
GA
Other
Enumeration date
08/12/2014
Last updated
05/01/2026
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