DR. KATELYNN R JENKINS (NPI# 1386260719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386260719 |
| Entity Type | Individual |
| Full Name | DR. KATELYNN R JENKINS |
| Credential | DDS |
| Practice Address |
42430 W 12 Mile Rd Ste 201 Novi MI 48377-3028 |
| Mailing Address |
669 Pheasant Woods Dr Canton MI 48188-3167 |
| Practice Telephone | 2484656313 |
| Mailing Telephone | 2487199667 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901600486 | MI | Dental Providers |
| Street Address |
42430 W 12 MILE RD STE 201 |
| City | NOVI |
| State | MI |
| Zip Code | 48377-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830003 | Shannon Young | Dentist | 40255 Grand River Ave Ste 100, Novi, MI 48375-2149 | 2020-04-20 |
| 1316419674 | Safari Kids Dental Pllc | Dentist | 44110 W 12 Mile Rd Ste 200, Novi, MI 48377-2614 | 2018-12-27 |
| 1851870265 | Ao of Novi, Pllc | Dentist | 24520 Meadowbrook Rd Ste 100, Novi, MI 48375-2866 | 2018-08-08 |
| 1760832794 | Jonathon Andrew Falvo | Dentist | 24955 Reeds Pointe Dr, Novi, MI 48374-2539 | 2016-06-21 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1750631628 | Future Image Dental PC | Dentist | 39595 W 10 Mile Rd Ste 106, Novi, MI 48375-2948 | 2012-09-18 |
| 1235496365 | Kenneth Joseph Kuzdak | Dentist | 41662 Kenilworth Ln, Novi, MI 48377-1594 | 2012-04-13 |
| 1538482377 | Lisa Mauriocourt Moss | Dentist | 24144 Westmont Dr, Novi, MI 48374-3660 | 2010-03-08 |
| 1699981795 | Stephen James Jarvie | Dentist | 23595 Novi Rd, Suite 110, Novi, MI 48375-5441 | 2007-05-15 |
| 1053523563 | Nevin Tchaoucheva Dmd PC | Dentist | 41714 W. Ten Mile Rd, Novi, MI 48375 | 2007-05-04 |
| Find all providers in NOVI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.