Jacob Hennen

NPI 1730058991 · on the registry since 2025

Practice

Address: 4700 Nelson Brogdon Blvd Ste 240
Buford, GA 30518
Phone: (770) 271-3188
Organisation at this address: Princeton Dental Group
Sherwoods Drug Shop Inc
Centennial Joint Care Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-02

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 Georgia