Individual provider · Type 1 NPI
David Scott Jardenil, DDS
Oral and Maxillofacial Surgery (Dentist) · Portage, IN
NPI number
1366512832
Active
Practice location
3204 Lancer St, Ste. B
Portage, IN 46368-4490
Fax (219) 763-9979
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 12008911 (IN) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
About NPI 1366512832
David Scott Jardenil, DDS's National Provider Identifier is 1366512832, issued on Nov 9, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Portage, IN. The record was last updated on Jul 8, 2007.