Most Relevant Information
Provider Data
| NPI Number: | 1003017278 |
| Provider Name: | GARY L JENNINGS DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223X0400X |
| Specialty: | Dentist |
| License Number: | 657 |
Most Important Dates
| Enumeration Date: | 05/29/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
704 BARRETT BLVD
HENDERSON
KY
424204931
Practice Location Phone/Fax
| Phone: | 2708269887 |
| Fax: |
Provider Mailing Location
704 BARRETT BLVD
HENDERSON
KY
424204931
Provider Mailing Phone/Fax
| Phone: | 2708269887 |
| Fax: |