James Mallory Jenkins Jr., D.M.D.
Individual provider Active NPI Pediatric Dentistry · Montgomery, AL
NPI 1265837199 · NPPES record last updated Nov 4, 2014
Key facts
- NPI
- 1265837199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 2767 (AL)
- Practice address
- 7015 Halcyon Park Dr
Montgomery, AL 36117-7763 - Phone
- (334) 284-1100
- Fax
- (334) 281-1245
- NPI assigned
- Nov 4, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2767 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentists 4 Children, L.L.C. | Pediatric Dentistry | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2767 | AL | Yes |
Addresses
Primary practice location
7015 Halcyon Park Dr
Montgomery, AL 36117-7763
Mailing address
7015 Halcyon Park Dr
Montgomery, AL 36117-7763
Phone (334) 284-1100
Other providers in Montgomery, AL
- Jefferson County Home Care Epsdt CC - Adph
- Jefferson County Home Care Patient 1St - Adph
- Jefferson Underwood, III, MD, PC
- Judi A Jehle
- Alexander Jenkins
- Julie Jenkins
- Manilla Shanta Jenkins
- Nadia C Jenkins
- Tamara Jenkins
- Jennifer S. Underwood, Bcba
All providers in Montgomery, AL · Pediatric Dentistry in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.