David Jenkins, P.A.
Dentist, Orthodontics and Dentofacial Orthopedics in Old Tappan, NJ. Organization (NPI-2).
NPI number1023161007
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1023161007
- Entity type
- Organization (NPI-2)
- Legal business name
- David Jenkins, P.A.
- Organization subpart
- No
- Enumeration date
- Jan 21, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 22DI01599700 | NJ | Yes |
Other names
- Jenkins Orthodontics (Doing Business As)
Practice location
180 Old Tappan RdOld Tappan, NJ 07675-7052
Phone 201-768-0018
Mailing address
32 Greenwoods RdOld Tappan, NJ 07675-7039
Authorized official
David Jenkins
President
2017677992
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