Provider Demographics
NPI:1861577785
Name:JENKINS, JOSLYN ANN (DMD)
Entity type:Individual
Prefix:DR
First Name:JOSLYN
Middle Name:ANN
Last Name:JENKINS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 CLARK RD.
Mailing Address - Street 2:BLDG Q
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-2382
Mailing Address - Country:US
Mailing Address - Phone:941-922-4948
Mailing Address - Fax:941-922-3299
Practice Address - Street 1:3900 CLARK ROAD
Practice Address - Street 2:BUILDING Q
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-2382
Practice Address - Country:US
Practice Address - Phone:941-922-4948
Practice Address - Fax:941-922-3299
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN145961223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics