| Jessica H. Renaker, Dmd Pllc | |
|
730 N Green St Henderson KY 42420-2951 | |
| (270) 826-7772 | |
| Not Available |
| Full Name | Jessica H. Renaker, Dmd Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 730 N Green St, Henderson, Kentucky |
| Authorized Official Name and Position | Jessica Hancock Renaker (DENTIST) |
| Authorized Official Contact | 2707917101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica H. Renaker, Dmd Pllc 730 N Green St Henderson KY 42420-2951 Ph: (270) 791-7101 | Jessica H. Renaker, Dmd Pllc 730 N Green St Henderson KY 42420-2951 Ph: (270) 826-7772 |
| NPI Number | 1558891275 |
|---|---|
| Provider Enumeration Date | 06/14/2017 |
| Last Update Date | 06/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558891275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8890 (Kentucky) | Primary |
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