Jennifer L Cavanaugh, D.M.D.
Dentist, Pediatric Dentistry in Lakeland, FL. Individual provider (NPI-1).
NPI number1740577352
StatusActive
Last updated in NPPESJan 2, 2020
Details
- NPI
- 1740577352
- Entity type
- Individual (NPI-1)
- Name
- Jennifer L Cavanaugh
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2011
- Certification date
- Jan 2, 2020
- Last updated
- Jan 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | DN19962 | FL | Yes |
| 122300000X | Dentist | DS038741 | PA |
Other names
- Jennifer L Senge (Former Name)
Practice location
1111 N Parkway Frontage RdLakeland, FL 33803-0400
Phone 863-644-2408
Mailing address
3032 Via Rialto StFort Myers, FL 33905-5412
Phone 412-370-3634
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