Provider Demographics
NPI:1275743817
Name:FRITZ, JENNIFER LYN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LYN
Last Name:FRITZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 LINCOLN AVE
Mailing Address - Street 2:APT. 11
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-2278
Mailing Address - Country:US
Mailing Address - Phone:319-351-3271
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF IOWA COLLEGE OF DENTISTRY 809 NEWTON ROAD
Practice Address - Street 2:428 DENTAL SCIENCE BUILDING SOUTH
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1001
Practice Address - Country:US
Practice Address - Phone:319-335-7275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA08437122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist