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NPI Code Detail

MEDICARE: DR. JENNIFER BALKCUM TURNER D.M.D.

MEDICARE: DR. JENNIFER BALKCUM TURNER D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDN013175GA
21223P0221XPediatric Dentistry672SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19184436OTHERGADORAL
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720165558
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER BALKCUM TURNER D.M.D.
Provider Business Mailing Address
First Line : 1202B HWY 72 W
Second Line :
City : GREENWOOD
State : SC
Zip : 29649-1816
Country : US
Telephone Number : 864-229-0305
Fax Number : 864-227-0831
Provider Business Practice Location Address
First Line : 1202B HWY 72 W
Second Line :
City : GREENWOOD
State : SC
Zip : 29649-1816
Country : US
Telephone Number : 864-229-0305
Fax Number : 864-227-0831
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 11/11/2009

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