Jenzer, Andrew Clark

Jenzer, Andrew Clark is an individual health care provider with primary practice located at 1631 Gordon Hwy , Augusta GA 30906-2292. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Jenzer, Andrew Clark can be contacted via phone (802) 579-4904.

Contact Information

Primary practice address
1631 Gordon Hwy Augusta GA 30906-2292
Phone: (802) 579-4904
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7173 Nebraska
Dental Providers / General Practice 1223G0001X DN015870 Georgia
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN015870 Georgia

Profile Details

NPI number 1720497001
LBN Legal business name Jenzer, Andrew Clark
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2014
Last updated Jun 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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