Organization
T. SCOTT JENKINS, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE MOON (OFFICE MANAGER)
(410) 679-2523
Entity
Organization
Contact information
Practice address
1401 PULASKI HWY STE V, EDGEWOOD, MD 21040-1398
(410) 679-2523
(410) 676-2683
Mailing address
1401 PULASKI HWY STE V, EDGEWOOD, MD 21040-1398
(410) 679-2523
(410) 676-2683
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11028
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
4843
MD
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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