Provider Demographics
NPI:1497770507
Name:KIENING, JENNIFER LEIGH (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LEIGH
Last Name:KIENING
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:10510 W PARMER LN
Mailing Address - Street 2:100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-4875
Mailing Address - Country:US
Mailing Address - Phone:512-218-1500
Mailing Address - Fax:512-218-1512
Practice Address - Street 1:10510 W PARMER LN
Practice Address - Street 2:100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-4875
Practice Address - Country:US
Practice Address - Phone:512-218-1500
Practice Address - Fax:512-218-1512
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX203421223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry