MEDICARE: DR. M DOUGLAS 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
1	122300000X	Dentist	135199	UT

General Provider Information

NPI Number	:	1841474160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. M DOUGLAS JENKINS DDS

Provider Business Mailing Address
First Line	:	4970 S 900 E
Second Line	:	SUITE G
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-5776
Country	:	US
Telephone Number	:	801-262-6811
Fax Number	:

Provider Business Practice Location Address
First Line	:	4970 S 900 E
Second Line	:	SUITE G
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-5776
Country	:	US
Telephone Number	:	801-262-6811
Fax Number	:

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

Provider Enumeration Date	:	12/21/2007
Last Update Date	:	12/21/2007

Similar Medicare Providers

1063687911 — DR. KENT STOLPE LEWIS DDS
Practice Location Address:

4970 S 900 E , SUITE G
SALT LAKE CITY, UT
84117-5776

Practice Phone: 801-262-9444
Practice Fax:

1629226774 — DR. JEFFREY B KOCHEVAR DDS MSD
Practice Location Address:

4970 S 900 E , STE. E
SALT LAKE CITY, UT
84117-5776

Practice Phone: 801-868-9722
Practice Fax: 801-264-9662

1497124259 — FLINT & STEEL SURGICAL
Practice Location Address:

4970 S 900 E , SUITE C
SALT LAKE CITY, UT
84117-5776

Practice Phone: 801-263-3309
Practice Fax: 801-288-1226

1477842938 — DR. JYOTSNA BHATTACHARYA M.D.
Practice Location Address:

201 50TH AVE APT 17M
LONG ISLAND CITY, NY
11101-5776

Practice Phone: 773-320-9969
Practice Fax:

1134790348 — YAOJIA SUN
Practice Location Address:

201 50TH AVE APT 17E
LONG ISLAND CITY, NY
11101-5776

Practice Phone: 646-318-5921
Practice Fax:

1134734627 — SHEILA GIBSON
Practice Location Address:

68 W CRYSTAL LAKE WAY
ELIZABETH, WV
26143-5776

Practice Phone: 304-916-5404
Practice Fax:

Directions to “ DR. M DOUGLAS JENKINS DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.