Jessica Breedlove, DDS is a
Dentist based in Tucker, Arkansas. Jessica Breedlove is licensed to practice in Arkansas (license number 3519) and her current practice location is
2400 State Farm Rd, Tucker, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(901) 289-3593.
NPI number for Jessica Breedlove is 1124410097 and her current mailing address is 2400 State Farm Rd, Tucker, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124410097.
Healthcare Provider's Profile
Full Name | Jessica Breedlove |
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Gender | Female |
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Speciality | Dentist |
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Location | 2400 State Farm Rd, Tucker, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124410097
- Provider Enumeration Date: 03/02/2015
- Last Update Date: 03/02/2015
Medical Identifiers
Medical identifiers for Jessica Breedlove such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124410097 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 3519 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Breedlove is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Breedlove, DDS 2400 State Farm Rd, Tucker, AR 72168-9503 Ph: (901) 289-3593 | Jessica Breedlove, DDS 2400 State Farm Rd, Tucker, AR 72168-9503 Ph: (901) 289-3593 |
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