Dr. David Jenkins, D.M.D., M.S.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Old Tappan, NJ. Individual provider (NPI-1).
NPI number1114070190
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1114070190
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Jenkins
- Credential
- D.M.D., M.S.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 21, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 22DI01599700 | NJ | Yes |
Practice location
180 Old Tappan RdOld Tappan, NJ 07675-7052
Phone 201-768-0018
Mailing address
32 Greenwoods RdOld Tappan, NJ 07675-7039
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