Provider Demographics
NPI:1457246290
Name:JENTZ, CORY (DC)
Entity type:Individual
Prefix:
First Name:CORY
Middle Name:
Last Name:JENTZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7109 MARTIN LAKE RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27358-9234
Mailing Address - Country:US
Mailing Address - Phone:563-505-1064
Mailing Address - Fax:
Practice Address - Street 1:THE JOINT CHIROPRACTIC
Practice Address - Street 2:3354 W FRIENDLY AVE
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410
Practice Address - Country:US
Practice Address - Phone:336-489-4656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5411111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor