DR. DAVID R JENNINGS DDS NPI 1396740023

NPI Information

NPI: 1396740023
Provider Name: DR. DAVID R JENNINGS, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
324 W SUPERIOR ST
STE 720
DULUTH, MN
ZIP 55802
Phone: (218) 727-8994
Get Directions

DR. David R Jennings, DDS is an oral and maxillofacial surgery dentist in Duluth, MN. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. David R Jennings, DDS NPI is 1396740023. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

324 W SUPERIOR ST
STE 720
DULUTH, MN
ZIP 55802-721
Phone: (218) 727-8994
Fax: (218) 727-8995

The NPI 1396740023 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/17/2005 and was last updated on 7/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	4374015	WISCONSIN	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DE00006557	WASHINGTON	No
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	8761	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DB2954	OTHER	MINNESOTA	RAILROAD MEDICARE GROUP #
2	U12947	MEDICARE UPIN	MINNESOTA
3	761075	OTHER	MINNESOTA	UNITED CONCORDIA PROVIDER
4	HP38841	OTHER	MINNESOTA	HEALTH PARTNERS
5	6B297JE	OTHER	MINNESOTA	BC/BS OF MN GROUP #
6	6B298JE	OTHER	MINNESOTA	BC/BS OF MN PROVIDER #
7	C03316	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	MEDICARE GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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