Healthcare Provider Details

I. General information

NPI: 1326786575
Provider Name (Legal Business Name): SARAH CARPENTER JENNINGS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 LAKEVIEW CT
COVINGTON LA
70433-7515
US

IV. Provider business mailing address

355 LAKEVIEW CT
COVINGTON LA
70433-7515
US

V. Phone/Fax

Practice location:
  • Phone: 985-792-7046
  • Fax:
Mailing address:
  • Phone: 985-518-8390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7305
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: