Provider Demographics
NPI:1467523258
Name:DRUMMOND, JENNIFER H (DMD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:H
Last Name:DRUMMOND
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 WHITESPORT DR SW STE 1
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3473
Mailing Address - Country:US
Mailing Address - Phone:256-883-8358
Mailing Address - Fax:256-883-8358
Practice Address - Street 1:500 WHITESPORT DR SW STE 1
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3473
Practice Address - Country:US
Practice Address - Phone:256-883-8358
Practice Address - Fax:256-883-8360
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL52651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice