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Organization

JENNINGS DENTISTRY INC

Active
Other names
Odon Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELLE LYNN JENNINGS DDS (OWNER/DENTIST)
(812) 636-4334
Entity
Organization

Contact information

Practice address
420 N WEST ST, ODON, IN 47562-1036
(812) 636-4334
(812) 636-8325
Mailing address
420 N WEST ST, ODON, IN 47562-1036
(812) 636-4334
(812) 636-8325

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010880A
IN

Other

Enumeration date
10/18/2007
Last updated
10/18/2007
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