| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JENNIFER JAN | 1770222309 | 2022-08-07 |
Jennifer Jan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1770222309. Registration indicates Jennifer Jan is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, )
| Entity Type | Individual |
| Provider Name | Jennifer Jan DMD |
| Practice Office Address | 5892 S ARCHER AVE CHICAGO, IL US |
| Practice Office Telephone | 7734242582 |
| Mailing Address | 9134 TRIPP AVE SKOKIE, IL 600761610 US |
| Business Telephone | 7734242582 |
| Code | Practice | License No State |
|---|---|---|
| 1223G0001X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist | 019.033620
IL |