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JENNIFER P. KETCHEL DDS MS PA NPI 1063786705


NPI Information

NPI: 1063786705
Provider Name: JENNIFER P. KETCHEL, DDS, MS, PA

Doing Business As: ARLINGTON PEDIATRIC DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

CLIA Number: 45D0484715

Address:
7410 S COOPER ST STE 100
ARLINGTON, TX
ZIP 76001
Phone: (817) 465-0044
Get Directions

JENNIFER P. KETCHEL, DDS, MS, PA is a pediatric dentistry dentist in Arlington, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. JENNIFER P. KETCHEL, DDS, MS, PA NPI is 1063786705. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Arlington Pediatric Dentistry.

The provider's business location address is:

7410 S COOPER ST STE 100
ARLINGTON, TX
ZIP 76001-025
Phone: (817) 465-0044
Fax: (817) 465-0055

The provider's authorized official is Jennifer Pettit Ketchel .
The authorized official title is Pediatric Dentist and has the following contact phone number (817) 465-0044.

The CLIA number assigned to this NPI record is 45D0484715 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2012 and was last updated on 6/18/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry20274TEXASYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.