Jennings Dentistry INC

NPI #1891984522 in Odon, Indiana

Provider Information

NPI Number: 1891984522
Entity Type: Organization
Organization Name: Jennings Dentistry INC
Primary Specialty: Dentist
Enumeration Date: Oct 18, 2007
Last Updated: Oct 18, 2007

Practice Location

Address: 420 N WEST ST
City: Odon
State: Indiana
ZIP Code: 47562-1036
Phone: (812) 636-4334

Authorized Official

Name: DR. MICHELLE LYNN JENNINGS, DDS
Title: OWNER/DENTIST
Phone: (812) 636-4334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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