| Jenifer Jesson, Dds, Mph | |
|
420 Folsom Rd Ste A Roseville CA 95678-2767 | |
| (240) 644-4016 | |
| Not Available |
| Full Name | Jenifer Jesson, Dds, Mph |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 420 Folsom Rd Ste A, Roseville, California |
| Authorized Official Name and Position | Jenifer Jesson (DENTIST) |
| Authorized Official Contact | 2406444016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenifer Jesson, Dds, Mph 420 Folsom Rd Ste A Roseville CA 95678-2767 Ph: (240) 644-4016 | Jenifer Jesson, Dds, Mph 420 Folsom Rd Ste A Roseville CA 95678-2767 Ph: (240) 644-4016 |
| NPI Number | 1407589302 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 09/15/2022 |
| Medicare PECOS PAC ID | 0941670343 |
|---|---|
| Medicare Enrollment ID | O20221229001452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407589302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
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