KEVIN D. JENNINGS DDS LLC NPI 1669650289

NPI Information

KEVIN D. JENNINGS DDS, LLC is a point of service in Chesapeake, VA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. KEVIN D. JENNINGS DDS, LLC NPI is 1669650289. The provider is registered as an organization entity type.

The provider's business location address is:

211 PROVIDENCE RD STE 11
CHESAPEAKE, VA
ZIP 23325-687
Phone: (757) 523-9002
Fax: (757) 523-9005

The provider's authorized official is Kevin Dewitt Jennings .
The authorized official title is Owner and has the following contact phone number (757) 523-9002.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 2/6/2008.

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:

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