MEDICARE: T. SCOTT JENKINS, DDS, PA

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1699573360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T. SCOTT JENKINS, DDS, PA

Provider Business Mailing Address
First Line	:	1401 PULASKI HWY STE V
Second Line	:
City	:	EDGEWOOD
State	:	MD
Zip	:	21040-1398
Country	:	US
Telephone Number	:	410-679-2523
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 BEARDS HILL RD STE G
Second Line	:
City	:	ABERDEEN
State	:	MD
Zip	:	21001-2270
Country	:	US
Telephone Number	:	410-272-7970
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. THOMAS SCOTT JENKINS
Credential	:	DDS
Telephone Number	:	410-679-2523

Provider Enumeration Date	:	03/06/2025
Last Update Date	:	03/06/2025

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