Organization
JENKINS DENTAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BRADFORD JENKINS D.M.D. (PRESIDENT)
(662) 887-3426
Entity
Organization
Contact information
Practice address
211 HIGHWAY 82 E, INDIANOLA, MS 38751-2234
(662) 887-3426
(662) 887-3698
Mailing address
211 HIGHWAY 82 E, INDIANOLA, MS 38751-2234
(662) 887-3426
(662) 887-3698
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3225
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016029
—
MS
Enumeration date
02/12/2007
Last updated
08/22/2020
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