Jenkins, Dale Cr
Jenkins, Dale Cr is an individual health care provider with primary practice located at 2145 Caja Del Oro Grant Rd , Santa Fe NM 87507-3279. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jenkins, Dale Cr can be contacted via phone (505) 474-1438.Contact Information
Primary practice address
2145 Caja Del Oro Grant Rd
Santa Fe NM 87507-3279
Phone: (505) 474-1438
Fax: (505) 424-5699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD2097 | New Mexico |
Profile Details
| NPI number | 1841276573 |
|---|---|
| LBN Legal business name | Jenkins, Dale Cr |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841276573 | NPPES |
| New Mexico | MEDICAID | 9179749 | |
| New Mexico | Other | DD2097 |
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