Provider Demographics
NPI:1801922810
Name:ASKELAND, JENNY L (DMD)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:L
Last Name:ASKELAND
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 1:4831 SE ANCHOR AVE
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-1905
Mailing Address - Country:US
Mailing Address - Phone:772-283-0902
Mailing Address - Fax:
Practice Address - Street 1:4831 SE ANCHOR AVE
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-1905
Practice Address - Country:US
Practice Address - Phone:772-283-0902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL146141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice