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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JENNIFER L FULL, DDS

Active

DR. JENNIFER L FULL, DDS is a General Dentistry healthcare provider located in FORT LEONARD WOOD, Missouri. NPI 1609355148 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FORT LEONARD WOOD, MO

Registration Details

NPI Number
1609355148
Provider Type
Individual
Gender
Female
NPI Issued
Aug 7, 2018 (8.0331404590564 yrs)
Last Updated
Mar 18, 2021
License
DDS-09585 (IA)

Practice Information

Address
BOAK DENTAL CLINIC
12720 KANSAS AVE BLDG 789
FORT LEONARD WOOD, MO, 654736547
Browse MO providers · Browse ZIP 65473
Phone
7067184719
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in FORT LEONARD WOOD, MO

Name Credential NPI
DR. ROBERT WILLIAM BLOCK DMD 1952386856
DR. MARK M KUBA DDS 1043297781
DR. MARK HENRY KREUTNER DDS 1245217843
DR. RICHARD TARLETON TOBIAS DDS 1205806502
MARIE T WELTON DDS 1164495636
DR. JOSEPH PATRICK TESENE DDS 1891922167
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.