| Dr Kevin D Jennings, DDS | |
|
211 Providence Rd, Suite 11, Chesapeake, VA 23325-4687 | |
| (757) 523-9002 | |
| (757) 523-9005 |
| Full Name | Dr Kevin D Jennings |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 211 Providence Rd, Chesapeake, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669462941 | NPI | - | NPPES |
| 831824 | Other | VA | UNITED CONCORDIA |
| 0006147 | Medicaid | VA | |
| 6444 | Other | VA | DELTA DENTAL OF VA |
| 028603 | Other | VA | BLUE CROSS BLUE SHIELD |
| 0005596256 | Other | VA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6444 (Virginia) | Primary |
| Entity Name | Portsmouth Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134199193 PECOS PAC ID: 1052301835 Enrollment ID: O20040513001366 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin D Jennings, DDS 211 Providence Rd, Suite 11, Chesapeake, VA 23325-4687 Ph: (757) 523-9002 | Dr Kevin D Jennings, DDS 211 Providence Rd, Suite 11, Chesapeake, VA 23325-4687 Ph: (757) 523-9002 |
Dr. Sean Phuc Do, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1341 S Military Hwy, Chesapeake, VA 23320 Phone: 757-447-7333 Fax: 757-394-3394 | |
Dr. Taylor Landon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1317 Ballahack Rd, Chesapeake, VA 23322 Phone: 757-953-6248 | |
Wyatt M Ruffin Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3940 Airline Blvd, Suite 114, Chesapeake, VA 23321 Phone: 757-465-4884 Fax: 757-465-4884 | |
Dr. Brian Paul Midgette, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3326 Taylor Road, Chesapeake, VA 23321 Phone: 757-483-4700 Fax: 757-483-2359 | |
Barclay Kruger Weisberg, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3221 Western Branch Blvd, Chesapeake, VA 23321 Phone: 757-483-6297 Fax: 757-484-1487 | |
Glenn A. Familant, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1230 Progressive Dr, Suite 103, Chesapeake, VA 23320 Phone: 757-962-0417 | |
Dr. Alan Gregory Forbes, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 805 Battlefield Blvd N, Ste 125, Chesapeake, VA 23320 Phone: 757-547-2171 Fax: 757-547-9644 |