Provider Demographics
NPI:1578624482
Name:JENNIFER L. KENDALL, DDS., INC.
Entity Type:Organization
Organization Name:JENNIFER L. KENDALL, DDS., INC.
Other - Org Name:KENDALL,YORK DENTISTRY
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNETT
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-867-3161
Mailing Address - Street 1:650 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:OH
Mailing Address - Zip Code:45619-1039
Mailing Address - Country:US
Mailing Address - Phone:740-867-3161
Mailing Address - Fax:740-867-8561
Practice Address - Street 1:650 3RD AVE
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:OH
Practice Address - Zip Code:45619-1039
Practice Address - Country:US
Practice Address - Phone:740-867-3161
Practice Address - Fax:740-867-8561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH160791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty