DR. David Scott Jardenil, D.D.S.

NPI #1366512832 in Portage, Indiana

Provider Information

NPI Number: 1366512832
Entity Type: Individual
Name: DR. David Scott Jardenil, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: D.D.S.
Enumeration Date: Nov 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3204 LANCER ST
Address 2: STE. B
City: Portage
State: Indiana
ZIP Code: 46368-4490
Phone: (219) 762-1806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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Organizations

Provider Name	Specialty	City
Matthew Hearn Ltd	Dentist - Oral and Maxillofacial Surgery	Portage	AI Deep Dive

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