Britany Rae Jenkins
Dentist in Lewisville, TX. Individual provider (NPI-1).
NPI number1235545674
StatusActive
Last updated in NPPESJul 7, 2014
Details
- NPI
- 1235545674
- Entity type
- Individual (NPI-1)
- Name
- Britany Rae Jenkins
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2014
- Last updated
- Jul 7, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- Medicare opt-out
- May 10, 2016 to May 10, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 30192 | TX | Yes |
Practice location
1565 W Main StSuite 205
Lewisville, TX 75067-3394
Phone 972-436-0788 · Fax 972-436-9188
Mailing address
2005 Clubview DrCarrollton, TX 75006-1703
Phone 214-454-1051
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 38 Dentist providers in Lewisville · All 2,138 providers in Lewisville
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