Provider Demographics
NPI:1982720819
Name:DUNCAN, JENNIFER ASHLEY (RDH)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ASHLEY
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 S BURDETTE AVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-8366
Mailing Address - Country:US
Mailing Address - Phone:903-780-2119
Mailing Address - Fax:214-618-9843
Practice Address - Street 1:8608 PRESTON RD STE 112
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3317
Practice Address - Country:US
Practice Address - Phone:214-619-6326
Practice Address - Fax:214-618-9843
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13434124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist