location
search-icon
person
Dr. David Scott Jardenil, DDS
Oral and Maxillofacial Surgery (Dentist) in Portage, Indiana
NPI 1366512832

David Scott Jardenil is a Oral and Maxillofacial Surgery (Dentist) based in Portage, IN and is specialized in Oral and Maxillofacial Surgery. David Scott Jardenil practices in Portage, IN and has the professional credentials of DDS. The NPI Number for David Scott Jardenil is 1366512832 and holds a License No. 12008911 (Indiana).

The current practice location address for David Scott Jardenil is 3204 Lancer St, Portage, IN and can be reached out via phone at 219-762-1806 and via fax at 219-763-9979. You can also correspond with David Scott Jardenil through the mailing address at 3204 LANCER ST, PORTAGE, IN - 46368-4490 (mailing address contact number: 219-762-1806).

Location: 3204 Lancer St, Portage, IN, 46368-4490
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366512832
Provider Name
David Scott Jardenil
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3204 Lancer St, Portage, IN, 46368-4490
Phone Number
219-762-1806
Fax Number
219-763-9979
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
200178640 05 IN
901629 01 IN UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
3204 Lancer St
City
Portage
State
Indiana
Zip
46368-4490
Phone Number
219-762-1806
Fax Number
219-763-9979
person
Provider Business Mailing Address Details
Address
3204 Lancer St
City
Portage
State
Indiana
Zip
46368-4490
Phone Number
219-762-1806
Fax Number
219-763-9979
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
12008911 (Indiana)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.