Jennifer Tedder, DDS, PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6608 Issued in NC

Legal business name

JENNIFER TEDDER, DDS, PA

Practice address

400 Peachtree Street
Rocky Mount, NC 27804-4831

Phone

(252) 985-3636

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Tedder, DDS

Title

Endodontist

Phone

(252) 985-3636

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891909578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PEACHTREE ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278044831",
            "telephone_number": "252-985-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PEACHTREE STREET",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278044831",
            "telephone_number": "252-985-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER TEDDER, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEDDER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "252-985-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "6608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William David Jarvis, DDS MS PA
• Jason R. Duke, DDS, P.a.
• Mohamed Jellazi, MD
• Allison Jenkins, RD, LDN
• Thomas Edgar Jenkins, CRNA
• Charles Shingirai Jere, MD
• Grace Mayamiko Jere, MD
• George Marshall Jerman Jr., SLP
• Edward W Jernigan, DDS
• John C Jernigan, DDS

• Endodontics in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.