Individual
JACKSON CLAY JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
981 BELLE WOOD DR, HENDERSON, KY 42420-9141
(270) 860-0306
Mailing address
981 BELLE WOOD DR, HENDERSON, KY 42420-9141
(270) 860-0306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11358
KY
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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