MEDICARE: DR. JENNIFER LYNN ENOS D.D.S.

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
1	122300000X	Dentist	D6264	AZ

General Provider Information

NPI Number	:	1366402984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER LYNN ENOS D.D.S.

Provider Business Mailing Address
First Line	:	3326 N. GRANITE REEF RD.
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7915
Country	:	US
Telephone Number	:	480-225-1363
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 W WARNER RD STE 9
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-2758
Country	:	US
Telephone Number	:	480-442-4894
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	11/10/2025

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