Dennis Jerome Jenkins, D.D.S.
Individual provider Active NPI General Practice Dentistry · Sellersburg, IN
NPI 1679700124 · NPPES record last updated Jun 11, 2009
Key facts
- NPI
- 1679700124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12009023 (IN)
- Practice address
- 7709 Highway 311
Sellersburg, IN 47172-1819 - Phone
- (812) 246-3386
- Fax
- (812) 246-1292
- NPI assigned
- Jun 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 12009023 | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Designing Smiles PSC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12009023 | IN | Yes |
Addresses
Primary practice location
7709 Highway 311
Sellersburg, IN 47172-1819
Mailing address
7709 Highway 311
Sellersburg, IN 47172-1819
Phone (812) 246-3386
Other providers in Sellersburg, IN
- Jenny Dawn Ingle
- Intrinsic Genomics, LLC
- Jackson Physical Therapy & Associates, Inc
- David Andrew Jackson
- Jeanne Green M.D., LLC
- Erin Denise Jenkins
- Robyn A Keeling
- Sara Keinath
- Kentuckiana Radiology Services, Inc
- Aaron Michael Kirkpatrick
All providers in Sellersburg, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2009. 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.