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General NPI Number Information
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NPI Number | 1780482521
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Entity Type | Organization
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Legal Business Name | T. SCOTT JENKINS, DDS, PA
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 1401 PULASKI HWY STE V
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City | EDGEWOOD
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State | MD
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Zip | 21040-1398
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Country | US
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Telephone | 410-679-2523
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 PULASKI HWY STE V
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City | EDGEWOOD
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State | MD
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Zip | 21040-1398
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Country | US
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Telephone | 410-679-2523
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS SCOTT JENKINS
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Credential | DDS
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Telephone | 410-679-2523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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