Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK SEMMENS, DDS
Active Sole ProprietorDR. JACK SEMMENS, DDS is a Dentist healthcare provider located in TAHOE CITY, California. NPI 1073906756 is currently active in the NPPES registry. Verify at CMS.
Dentist · TAHOE CITY, CA
Registration Details
- NPI Number
- 1073906756
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 5, 2015 (11.433407534734 yrs)
- Last Updated
- Mar 5, 2015
- License
-
18407 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
495 NORTH LAKE BLVD - 96145STE 270TAHOE CITY, CA, 961451912Browse CA providers · Browse ZIP 96145
- Phone
- 5305835546
- Fax
- 5305833559
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in TAHOE CITY, CA
| Name | Credential | NPI |
|---|---|---|
| RICHARD R TOMLINSON | DDS | 1417020413 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.