Jessica H. Renaker, DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

8890 Issued in KY

Legal business name

JESSICA H. RENAKER, DMD PLLC

Practice address

730 N Green St
Henderson, KY 42420-2951

Phone

(270) 826-7772

NPI assigned

Jun 14, 2017

Last updated

Jun 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Hancock Renaker, DMD

Title

Dentist

Phone

(270) 791-7101

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1558891275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N GREEN ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202951",
            "telephone_number": "270-791-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N GREEN ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202951",
            "telephone_number": "270-826-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA H. RENAKER, DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "RENAKER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "HANCOCK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "270-791-7101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KY",
            "license": "8890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Samuel Chartered
• Bailey Nicole Jenkins, COTA
• Andrea S Jennings, PA-C, RD
• Gary L Jennings, DMD
• Jackson Clay Jennings, DMD
• John B Rashidian M.D.,PSC
• John McClellan
• Kaci O Johns
• Ronald Todd Johnson, DMD
• Cheryl Lee Jones, H.I.S.

• Dental Clinic/Center in Henderson, KY
• Providers in Henderson, KY by specialty
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.