Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID SCOTT JARDENIL, D.D.S.
ActiveDR. DAVID SCOTT JARDENIL, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in PORTAGE, Indiana. NPI 1366512832 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · PORTAGE, IN
Registration Details
- NPI Number
- 1366512832
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2006 (19.801418715163 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12008911 (IN)
Practice Information
- Address
-
3204 LANCER STSTE. BPORTAGE, IN, 463684490Browse IN providers · Browse ZIP 46368
- Phone
- 2197621806
- Fax
- 2197639979
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
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.