Jennings Dentistry Inc

Organization Active NPI Dentist · Odon, IN

NPI 1891984522 · NPPES record last updated Oct 18, 2007

Key facts

NPI
1891984522
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
12010880A (IN)
Legal business name
JENNINGS DENTISTRY INC
Practice address
420 N West St
Odon, IN 47562-1036
Phone
(812) 636-4334
Fax
(812) 636-8325
NPI assigned
Oct 18, 2007
Organization subpart
No

Authorized official

Name
Dr. Michelle Lynn Jennings, DDS
Title
Owner/Dentist
Phone
(812) 636-4334

Practitioners 1

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

National Provider Directory

Locations

420 N West St
Odon, IN 47562
Phone (812) 323-9970

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X 12010880A IN Yes

Addresses

Primary practice location

420 N West St
Odon, IN 47562-1036

Mailing address

420 N West St
Odon, IN 47562-1036
Phone (812) 636-4334

Other names

  • Odon Family Dentistry Doing business as

Other providers in Odon, IN

All providers in Odon, IN · Dentist in Indiana

Sources for this page

Verify at the official NPI Registry.