Individual
JENNAH CALVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
594 MAIN ST N, HORACE, ND 58047-4640
(701) 552-6001
Mailing address
594 MAIN ST N, HORACE, ND 58047-4640
(701) 552-6001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14620
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2021
Last updated
09/08/2025
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