David R Jennings in Duluth - Oral And Maxillofacial Surgery
David R Jennings - NPI 1396740023
David R Jennings is a Oral And Maxillofacial Surgery in Duluth, Minnesota. David R Jennings practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for David R Jennings is 1396740023. The last update date is 2007-07-16.
David R Jennings's current location address is 324 W Superior St, Duluth, Minnesota. You can contact this provider via phone number 2187278994 and fax number 2187278995. The mailing address for David R Jennings is 324 W Superior St, Duluth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David R Jennings |
|---|---|
| Address | 324 W Superior St, Duluth, Minnesota |
| Phone Number | 2187278994 |
| Fax Number | 2187278995 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1396740023 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 324 W Superior St |
|---|---|
| City | Duluth |
| State | Minnesota (MN) |
| Post Code | 5580217210 |
| Phone Number | 2187278994 |
| Fax Number | 2187278995 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 8761 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 761075 | MN | UNITED CONCORDIA PROVIDER | |
| 6B297JE | MN | BC/BS OF MN GROUP # | |
| 6B298JE | MN | BC/BS OF MN PROVIDER # | |
| DB2954 | MN | RAILROAD MEDICARE GROUP # | |
| HP38841 | MN | HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David R Jennings by the Centers for Medicare & Medicaid Services?
The David R Jennings has been issued the NPI (National Provider Identifier) 1396740023 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of David R Jennings?
The David R Jennings is situated at 324 W Superior St, in the city of Duluth, state of MN, with the zip code 5580217210.
What is David R Jennings's specialized field of practice, and what is the corresponding taxonomy classification code?
The David R Jennings's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did the David R Jennings receive its 1396740023 assignment from the Centers for Medicare & Medicaid Services?
The David R Jennings was assigned its 1396740023 by the Centers for Medicare & Medicaid Services on 2005-06-17.
When was the David R Jennings's information last updated?
The David R Jennings's information was last updated on 2007-07-16.