Provider Demographics
NPI:1811057326
Name:BABINEC, JENNIFER E (DDS)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:E
Last Name:BABINEC
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1151 KILDAIRE FARM RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4580
Mailing Address - Country:US
Mailing Address - Phone:919-460-5454
Mailing Address - Fax:919-460-3939
Practice Address - Street 1:1151 KILDAIRE FARM RD
Practice Address - Street 2:SUITE 108
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4580
Practice Address - Country:US
Practice Address - Phone:919-460-5454
Practice Address - Fax:919-460-3939
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2000013982141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice