| Doctor Name: | MRS. JENNIFER ANN DENTLER |
| NPI Number: | 1073830428 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 4704223063 |
| Business Practice Address: | 551 Linn St Allegan, MI - 490101595 |
| Business Phone Number: | 2696865800 |
| Business Fax Number: | 2696865899 |
| Mailing Address: | 551 Linn St, ALLEGAN |
| State: | MI |
| Postal Code: | 490101595 |
| Phone Number: | 2696865800 |
| Fax Number: | 2696865899 |
| NPI Enumeration Date: | 04/26/2010 |
| NPI Last Update Date: | 04/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704223063 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |