Most Relevant Information
Provider Data
| NPI Number: | 1003296823 |
| Provider Name: | JORDAN MICHAEL JENKINS D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DN 21241 |
Most Important Dates
| Enumeration Date: | 06/06/2015 |
| Last Updated: | 04/02/2021 |
Provider Practice Location
1941 W BOULEVARD
KOKOMO
IN
469026027
Practice Location Phone/Fax
| Phone: | 7654536200 |
| Fax: |
Provider Mailing Location
20251 JAMES RD
NOBLESVILLE
IN
460629048
Provider Mailing Phone/Fax
| Phone: | 8126070597 |
| Fax: |