Terrance Dale Jennings in Fort Smith - Dentist

Terrance Dale Jennings - NPI 1780769844

Terrance Dale Jennings is a Dentist in Fort Smith, Arkansas. Terrance Dale Jennings practices all healthcare services and medical treatments related to Dentist. The NPI Number for Terrance Dale Jennings is 1780769844. The last update date is 2007-07-08.

Terrance Dale Jennings's current location address is 2910 Jenny Lind Road, Fort Smith, Arkansas. You can contact this provider via phone number 4797854107 and fax number 4794947638. The mailing address for Terrance Dale Jennings is 2910 Jenny Lind Road, Fort Smith, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Terrance Dale Jennings
Address 2910 Jenny Lind Road, Fort Smith, Arkansas
Phone Number 4797854107
Fax Number 4794947638
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1780769844
Provider Enumeration Date 2006-10-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2910 Jenny Lind Road
City Fort Smith
State Arkansas (AR)
Post Code 729016733
Phone Number 4797854107
Fax Number 4794947638

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 1955
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
58316 BLUE CROSS FEDERAL
835361 AR BLUE CROSS STATE

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FAQs about Terrance Dale Jennings

What is the unique 10-digit identification code assigned to Terrance Dale Jennings by the Centers for Medicare & Medicaid Services?

The Terrance Dale Jennings has been issued the NPI (National Provider Identifier) 1780769844, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Terrance Dale Jennings is physically located?

The Terrance Dale Jennings is physically situated at the following address: 2910 Jenny Lind Road, Fort Smith, AR, 729016733.

What is Terrance Dale Jennings's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Terrance Dale Jennings is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

On what date did the Terrance Dale Jennings receive its 1780769844 assignment from the Centers for Medicare & Medicaid Services?

The Terrance Dale Jennings was assigned its 1780769844 by the Centers for Medicare & Medicaid Services on 2006-10-26.

As of what date were the Terrance Dale Jennings's details last updated?

The information pertaining to the Terrance Dale Jennings, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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