Individual provider · Type 1 NPI

Jennifer L. Full, DDS

General Practice Dentistry · Fort Leonard Wood, MO

NPI number 1609355148 Active

Practice location

Boak Dental Clinic, 12720 Kansas Ave Bldg 789
Fort Leonard Wood, MO 65473-6547

Mailing address

US Army Dental Activity, 6958 Nebraska Ave Building 1608
Fort Leonard Wood, MO 65473

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDDS-09585 (IA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1609355148

Jennifer L. Full, DDS's National Provider Identifier is 1609355148, issued on Aug 7, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Mar 18, 2021.