Provider Demographics
NPI:1194525717
Name:JENNIFER A MOHR DDS PLLC
Entity type:Organization
Organization Name:JENNIFER A MOHR DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOHR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-749-7977
Mailing Address - Street 1:1101 N WILMOT RD STE 115
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-5144
Mailing Address - Country:US
Mailing Address - Phone:520-290-8900
Mailing Address - Fax:520-290-8900
Practice Address - Street 1:1101 N WILMOT RD STE 115
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-5144
Practice Address - Country:US
Practice Address - Phone:520-290-8900
Practice Address - Fax:520-290-8902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty