Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHELLE P JENNINGS, DDS
ActiveDR. MICHELLE P JENNINGS, DDS is a Periodontology healthcare provider located in COUNTRYSIDE, Illinois. NPI 1205054541 is currently active in the NPPES registry. Verify at CMS.
Periodontology · COUNTRYSIDE, IL
Registration Details
- NPI Number
- 1205054541
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 23, 2007 (19.280231804162 yrs)
- Last Updated
- Aug 11, 2018
- License
-
021001561 (IL)
Practice Information
- Address
-
6520 JOLIET RDCOUNTRYSIDE, IL, 60525Browse IL providers · Browse ZIP 60525
- Phone
- 7083544545
- Fax
- 7083540336
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in COUNTRYSIDE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. EUGENE J BUKSA | DDS, MS | 1558546390 |
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.