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General NPI Number Information
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NPI Number | 1750889283
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Entity Type | Organization
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Legal Business Name | JENKINS DENTAL PARTNERS PC
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Dates
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Enumeration Date | 01/30/2018
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 550 HAMMILL LN
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City | RENO
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State | NV
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Zip | 89511-2045
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Country | US
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Telephone | 775-852-1770
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Fax | 775-852-2770
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Provider Business Mailing Address
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Address Line | 410 N 44TH ST STE 600
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City | PHOENIX
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State | AZ
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Zip | 85008-7616
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Country | US
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Telephone | 480-626-4154
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Fax | 480-867-7937
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Authorized Official
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Title or Position | VP OF TRAINING & INTEGRATIONS
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Name | MELODY BENNION
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Credential |
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Telephone | 480-234-8490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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