NPI 1003296823

Jordan Michael Jenkins, DDS

Practitioner General Practice Dentistry Kokomo, IN

Practice location

Address: 1941 W Boulevard, Kokomo, IN 46902-6027
Phone: (765) 453-6200
Mailing address: 20251 James Rd, Noblesville, IN 46062-9048

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 12012319A (IN)

Other Dentist providers in Indiana →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence DN 21241 (FL)

Registry record

NPI: 1003296823
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2015
Record last updated: 2 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.