NPIRadar

John W. Jenkins, DMD Valid NPI

Individual provider · Pediatric Dentistry · Columbia, SC

NPI
1831150473
Type
Individual (Type 1)
Primary specialty
Pediatric Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223P0221X
License number
3639 (SC)
Sex
Male
Sole proprietor
No
Enumerated
2006-03-31
Last updated
2014-09-11
Practice location
8905 Two Notch Rd
Columbia, SC 29223-6367
(803) 788-9593

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