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Eldon Jenkins

NPI 1487800181 · on the registry since 2008

Practice

Address: 200 W Frontier St Ste 5
Payson, AZ 85541
Phone: (928) 472-2500
Fax: (928) 472-6699
Organisation at this address: Bonanza Square Dentistry Llc
Dan Nurse Practitioner Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: General Practice Dentistry
1223G0001X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona