Individual provider · Type 1 NPI
Michelle P. Jennings, DDS
Periodontics · Countryside, IL
NPI number
1205054541
Active
Practice location
6520 Joliet Rd
Countryside, IL 60525
Fax (708) 354-0336
Mailing address
325 St Charles Ct
Lockport, IL 60441-3676
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 021001561 (IL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2 other providers at this address
Other periodontics providers in Countryside
About NPI 1205054541
Michelle P. Jennings, DDS's National Provider Identifier is 1205054541, issued on Apr 23, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Countryside, IL. The record was last updated on Aug 11, 2018.