| Dr Denver Jenkins | |
|
14805 Detroit Ave Suite #300 Lakewood OH 44107 | |
| (216) 221-0300 | |
| (216) 221-0308 |
| Full Name | Dr Denver Jenkins |
|---|---|
| Speciality | Dentist |
| Location | 14805 Detroit Ave, Lakewood, Ohio |
| Authorized Official Name and Position | Denver D Jenkins (DENTIST OWNER) |
| Authorized Official Contact | 2162210300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Denver Jenkins 14805 Detroit Ave Suite #300 Lakewood OH 44107 Ph: (216) 221-0300 | Dr Denver Jenkins 14805 Detroit Ave Suite #300 Lakewood OH 44107 Ph: (216) 221-0300 |
| NPI Number | 1396848909 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 08/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396848909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3019214 (Ohio) | Primary |
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