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NPI Code Detail

MEDICARE: DR. ARTHUR REX JENKINS DDS

MEDICARE:  DR. ARTHUR REX JENKINS  DDS
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
11223G0001XGeneral Practice Dentistry0401006053VA

General Provider Information

NPI Number : 1174539274
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARTHUR REX JENKINS DDS
Provider Business Mailing Address
First Line : 1633 SPRING HOUSE TRL
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-7005
Country : US
Telephone Number : 757-481-2820
Fax Number : 757-481-6752
Provider Business Practice Location Address
First Line : 836 FIRST COLONIAL RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-6107
Country : US
Telephone Number : 757-428-8747
Fax Number : 757-422-8165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ARTHUR REX JENKINS DDS” Practice Location

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