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1598041295 NPI number — JENNIFER H. KONKLE D.D.S.

NPI Number: 1598041295
Health Care Provider/Practitioner: JENNIFER H. KONKLE D.D.S.

Information about “1598041295” NPI (JENNIFER H. KONKLE D.D.S.) exists in 1598041295 in HTML format HTML  |  1598041295 in plain Text format TXT  |  1598041295 in PDF (Portable Document Format) PDF  |  1598041295 in an XML format XML  formats.

NPI Number : 1598041295 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598041295",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KONKLE",
    "FirstName": "JENNIFER",
    "MiddleName": "H.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.D.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7350 S MCCLINTOCK DR",
    "SecondLineMailingAddress": "SUITE 103",
    "MailingAddressCityName": "TEMPE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85283-5006",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-838-3073",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7350 S MCCLINTOCK DR",
    "SecondLinePracticeLocationAddress": "SUITE 103",
    "PracticeLocationAddressCityName": "TEMPE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85283-5006",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-838-3073",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/25/2011",
    "LastUpdateDate": "05/08/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "D008243",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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