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Search › Indiana › 207Q00000X

Crystal Jencks, MD

NPI 1508877788 · on the registry since 2006

Practice

Address
11115 Lima Rd
Fort Wayne, IN 46818
Phone
(260) 478-4201
Fax
(260) 458-3248
Organisation at this address
Dental Consults Of Northeast Indiana, Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
207Q00000X
Licence states on file
IN, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-13

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 Indiana