Individual
DR. JUSTIN L JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1381 S PATRICK DR, PATRICK AFB, FL 32925-3606
(321) 494-8241
Mailing address
1381 S PATRICK DR, PATRICK AFB, FL 32925-3606
(321) 494-8241
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010344
AZ
Other
Enumeration date
10/31/2018
Last updated
09/12/2025
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