Provider Demographics
NPI:1003998972
Name:BEMPKINS, JENNIFER LEA (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LEA
Last Name:BEMPKINS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2860 WESTINGHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:HORSEHEADS
Mailing Address - State:NY
Mailing Address - Zip Code:14845-8124
Mailing Address - Country:US
Mailing Address - Phone:607-796-2663
Mailing Address - Fax:
Practice Address - Street 1:2860 WESTINGHOUSE RD
Practice Address - Street 2:
Practice Address - City:HORSEHEADS
Practice Address - State:NY
Practice Address - Zip Code:14845-8124
Practice Address - Country:US
Practice Address - Phone:607-796-2663
Practice Address - Fax:607-796-0064
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047004122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist