Jennings, Michelle P

Jennings, Michelle P is an individual health care provider with primary practice located at 6520 Joliet Rd , Countryside IL 60525. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Jennings, Michelle P can be contacted via phone (708) 354-4545.

Contact Information

Primary practice address
6520 Joliet Rd Countryside IL 60525
Fax: (708) 354-0336
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 021001561 Illinois

Profile Details

NPI number 1205054541
LBN Legal business name Jennings, Michelle P
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Aug 11th, 2018 - about 6 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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