Individual
DR. JENNIFER NOEL CLAIBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
104 RICHESON DR, LYNCHBURG, VA 24501-2905
(434) 385-4746
(434) 385-0523
Mailing address
111 WYNDSONG PL, LYNCHBURG, VA 24502-2991
(434) 239-8385
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401411345
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013823
SMILES FOR CHILDREN
VA
05
—
007901101
—
VA
Enumeration date
01/10/2007
Last updated
07/08/2007
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