Jenna Park DMD PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JENNA PARK DMD PLC

Practice address

6303 E Broadway Blvd Ste 101
Tucson, AZ 85710-3547

Phone

(520) 276-1654

NPI assigned

Jul 14, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christine Barber

Title

Provider Enrollment Manager

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loan Le, DMD

  • Dentist
  • Tucson, AZ
  • NPI 1548887888

  General Practice

  NPD
• Jeremy Kyle Hargrove, DMD

  • Endodontics
  • Show Low, AZ
  • NPI 1891285425

  General Practice

  NPD (past)
• Arlyn Berns Levy, DMD

  • Dentist
  • Glendale, AZ
  • NPI 1366823304

  General Practice

  NPD (past)
• Aleksandr Baron, DDS

  • Endodontics
  • Fort Liberty, NC
  • NPI 1407182207

  General Practice

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1174414320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887",
            "telephone_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 E BROADWAY BLVD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103547",
            "telephone_number": "520-276-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNA PARK DMD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Sue Jenkins
• Lydia Jenkins, D.O.
• Mona Ann Jenkins, PTA
• Shawnna Lynn Jenkins, FNP-C
• Cory Michael Jenks, PHARMD
• Richard Dean Jennen, PSY.D.
• Jennifer a Mohr DDS PLLC
• Jennifer Jacobson MSN Pmhnp-BC PLLC
• Jennifer Lin M.D.
• Jennifer Parks, PLLC

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.