SearchFlorida1223G0001X

Justin Jennings, DMD

NPI 1952878605 · on the registry since 2018 · sole proprietor

Practice

Address
1381 S Patrick Dr
Patrick Afb, FL 32925
Phone
(321) 494-8241
Organisation at this address
45 Mdss Patrick Afb
45th Medgrp-Patrick
45th Medgrp-Patrick
Inferred from a shared address, not stated in the registry.
Clinicians at this address
64

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-23

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 Florida