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Contact Information

THOMAS JENEARY, DDS
827 HOLTON DRIVE
LE MARS, IA51031
 Phone: 712-546-4556
 Fax: 712-546-4568
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for THOMAS JENEARY · (Male)

NPI # 1659431633
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/11/2006
Last updated 04/20/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 07123
  • IA License # 7123
  • IA Medicaid 1036210
  • IA Other 23637 BLUE DENTAL
  • IA Other 236372 DELTA DENTAL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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