DR. GARY L JENNINGS (NPI# 1003017278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003017278 |
| Entity Type | Individual |
| Full Name | DR. GARY L JENNINGS |
| Credential | DMD |
| Practice Address |
704 Barrett Blvd Henderson KY 42420-4931 |
| Practice Telephone | 2708269887 |
| Mailing Telephone | 2708269887 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
657 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588654461 | Gary Stephen Jennings | Dentist | 4515 Van Winkle, Amarillo, TX 79119 | 2005-10-24 |
| 1447687587 | Gary Jennings | Social Worker | 520 Youngstown Poland Rd, Struthers, OH 44471-1103 | 2013-10-03 |
| 1063533305 | Gary Lee Jennings | Occupational Therapist | 9743 Myrtle Creek Ln, Orlando, FL 32832-5909 | 2007-04-03 |
| Street Address |
704 BARRETT BLVD |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420-4931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| Find all providers in zip 42420 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481928 | Mykel Anderson | Dentist | 256 E Lake Mead Pkwy, Henderson, NV 89015-6440 | 2020-09-14 |
| 1548639701 | David Alan Chenin | Dentist | 10730 S Eastern Ave, Henderson, NV 89052-5216 | 2015-09-17 |
| 1023416120 | Ji Hyun Ahn | Dentist | 4 Sunset Way Ste A6, Henderson, NV 89014-2016 | 2014-12-05 |
| 1225250798 | Stephen Terry Chenin | Dentist | 10730 S. Eastern Ave., Ste 100, Henderson, NV 89052-5217 | 2007-05-03 |
| 1003032129 | Tania Quinn | Dentist | 34 N Valle Verde Dr, Suite 120, Henderson, NV 89074 | 2007-04-17 |
| 1306961040 | John Rick Neilson | Dentist | 1909 N Green Valley Pkwy Ste A, Henderson, NV 89074-8353 | 2007-03-20 |
| 1659406395 | Kent L. Phillips, D.d.s., M.s., Ltb. | Dentist | 390 N Stephanie St, Suite 104, Henderson, NV 89014-8028 | 2007-02-22 |
| 1578627238 | Bruce Stewart Harris | Dentist | 2563 Evening Sky Drive, Henderson, NV 89052 | 2006-12-20 |
| 1174613921 | Leonardo Carlos Ferrer Bordador | Dentist | 2799 Sunridge Heights Pkwy Ste 100, Henderson, NV 89052-5055 | 2006-10-13 |
| 1821196940 | Carey Bruce Noorda | Dentist | 1701 N Green Valley Pkwy Ste 1, Henderson, NV 89074-5886 | 2006-09-20 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.