DR. Jennifer A Southard, D.D.S.

NPI #1336586064 in Pendleton, Indiana

Provider Information

NPI Number: 1336586064
Entity Type: Individual
Name: DR. Jennifer A Southard, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 4, 2013
Last Updated: Oct 25, 2016

Practice Location

Address: 7073 S STATE ROAD 67
City: Pendleton
State: Indiana
ZIP Code: 46064-9079
Phone: (765) 778-2176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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