Provider Demographics
NPI:1538317409
Name:HENSLEY, JENNIFER MICHELE (DDS)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MICHELE
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1652
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-1652
Mailing Address - Country:US
Mailing Address - Phone:210-446-0935
Mailing Address - Fax:
Practice Address - Street 1:9910 W LOOP 1604 N STE 122
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-5610
Practice Address - Country:US
Practice Address - Phone:210-446-0935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX240341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice