| Dr David Scott Jardenil, DDS | |
|
3204 Lancer St, Ste. B, Portage, IN 46368-4490 | |
| (219) 762-1806 | |
| (219) 763-9979 |
| Full Name | Dr David Scott Jardenil |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3204 Lancer St, Portage, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366512832 | NPI | - | NPPES |
| 200178640 | Medicaid | IN | |
| 901629 | Other | IN | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12008911 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Scott Jardenil, DDS 3204 Lancer St, Ste. B, Portage, IN 46368-4490 Ph: (219) 762-1806 | Dr David Scott Jardenil, DDS 3204 Lancer St, Ste. B, Portage, IN 46368-4490 Ph: (219) 762-1806 |
Dr. Stephanie L. Grider, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6080 Lute Rd, Portage, IN 46368 Phone: 219-763-6646 Fax: 219-762-8763 | |
Dr. Yong Woong Lee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6129 Us Highway 6, Portage, IN 46368 Phone: 219-600-8114 | |
Dr. Jennifer J Fontaine, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6450 Us Highway 6, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-6348 | |
Anne Marie Babb, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3204 Lancer St Ste A, Portage, IN 46368 Phone: 219-762-5506 | |
Dr. Margaret Eileen Griffith, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2646 Lois Street, Portage, IN 46368 Phone: 219-762-3010 Fax: 219-762-7255 | |
Anthony Frederick Lent, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 6035 Sterling Creek Rd, Portage, IN 46368 Phone: 219-850-1218 | |
Dr. Bao Q Dinh, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6035 Sterling Creek Rd, Portage, IN 46368 Phone: 219-850-1218 |