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DENNIS EUGENE JENNINGS DDS NPI 1689774341


NPI Information

NPI: 1689774341
Provider Name: DENNIS EUGENE JENNINGS, DDS
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

Address:
5553 WATERFORD LN
APPLETON, WI
ZIP 54913
Phone: (920) 739-7165
Get Directions

Dennis Eugene Jennings, DDS is a prosthodontics dentist in Appleton, WI. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. Dennis Eugene Jennings, DDS NPI is 1689774341. 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:

5553 WATERFORD LN
APPLETON, WI
ZIP 54913-468
Phone: (920) 739-7165
Fax: (920) 739-7361

The enumeration date for this NPI number is 9/23/2006 and was last updated on 7/23/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0700XDentistProsthodontics12024TEXASNo
21223P0700XDentistProsthodontics5806015WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
133792400MEDICAIDWISCONSIN

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

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