Provider Demographics
NPI:1346667045
Name:JADIN, DAVID HOWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HOWARD
Last Name:JADIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12910 W BLUEMOUND RD
Mailing Address - Street 2:
Mailing Address - City:ELM GROVE
Mailing Address - State:WI
Mailing Address - Zip Code:53122-2606
Mailing Address - Country:US
Mailing Address - Phone:262-456-5346
Mailing Address - Fax:262-649-4910
Practice Address - Street 1:12910 W BLUEMOUND RD
Practice Address - Street 2:
Practice Address - City:ELM GROVE
Practice Address - State:WI
Practice Address - Zip Code:53122-2606
Practice Address - Country:US
Practice Address - Phone:262-456-5346
Practice Address - Fax:262-649-4910
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-20
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7286-151223P0221X
MNR6671223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry