Jennings, David R

Jennings, David R is an individual health care provider with primary practice located at 324 W Superior St Ste 720, Duluth MN 55802-1721. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Jennings, David R can be contacted via phone (218) 727-8994.

Contact Information

Primary practice address
324 W Superior St Ste 720 Duluth MN 55802-1721
Phone: (218) 727-8994
Fax: (218) 727-8995
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 8761 Minnesota
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4374015 Wisconsin
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DE00006557 Washington

Profile Details

NPI number 1396740023
LBN Legal business name Jennings, David R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 16th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396740023 NPPES
Minnesota Other 761075 UNITED CONCORDIA PROVIDER
Minnesota Other 6B297JE UNITED CONCORDIA PROVIDER
Minnesota Other 6B298JE UNITED CONCORDIA PROVIDER
Minnesota Other DB2954 UNITED CONCORDIA PROVIDER
Minnesota Other HP38841 UNITED CONCORDIA PROVIDER

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