Provider Demographics
NPI:1972689842
Name:CHARLAND, JENNIFER ANN (DMD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ANN
Last Name:CHARLAND
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 1:31 SONJA DRIVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:RINDGE
Mailing Address - State:NH
Mailing Address - Zip Code:03461
Mailing Address - Country:US
Mailing Address - Phone:603-899-2422
Mailing Address - Fax:603-899-2424
Practice Address - Street 1:31 SONJA DRIVE
Practice Address - Street 2:SUITE #3
Practice Address - City:RINDGE
Practice Address - State:NH
Practice Address - Zip Code:03461
Practice Address - Country:US
Practice Address - Phone:603-899-2422
Practice Address - Fax:603-899-2424
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH32121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice