Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952878605 Individual Practitioner Male Practitioner

Dr. Justin L Jennings , DMD

Dentist - General Practice • Patrick Afb, FL

Professional Overview & Biography Verified Profile Summary

Dr. Justin Jennings, DMD is a registered healthcare professional specializing in Dentist - General Practice in Patrick Afb, FL. Practice services are available at 1381 S PATRICK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1381 S Patrick Dr

Patrick Afb, FL 329253606

Telephone 3214948241
Associated Practice Facility / Clinic
🏢 45th Medgrp-Patrick Facility NPI 1518941921

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Patrick Afb, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Patrick Afb, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D010344

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Denise Torres Garcia , PHYSICIAN ASSISTANT

Physician Assistant - Surgical

NPI 1164677878

PHYSICIANASSISTANT

Dr. Elena Botardo , MD

Family Medicine

NPI 1215908421

Doctor of Medicine (M.D.)

NPI 1225850647

Doctor of Pharmacy (Pharm.D.)

Dr. Justin Read , PharmD

Pharmacist - Pharmacotherapy

NPI 1255622700

Doctor of Pharmacy (Pharm.D.)

NPI 1285132852

Doctor of Osteopathic Medicine (D.O.)

NPI 1285991703

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2026

Dentist (License #D010344 in AZ)

📍
Updated Practice Location September 12, 2025

Registered at 1381 S PATRICK DR, PATRICK AFB, FL 329253606 (Tel: 3214948241)

📍
Updated Business Mailing Address September 12, 2025

Registered at 1381 S PATRICK DR, PATRICK AFB, FL 329253606 (Tel: 3214948241)

📍
Updated Practice Location July 24, 2023

Registered at 86 MDG, UNIT 3215, RAMSTEIN AB, APO, AE 090943215 (Tel: 7207728944)

📍
Updated Practice Location August 30, 2021

Registered at 15301 WARREN SHINGLE RD, BEALE AFB, CA 959031905 (Tel: 5306342941)

📍
Updated Business Mailing Address August 30, 2021

Registered at 15301 WARREN SHINGLE RD, BEALE AFB, CA 959031905

👤
Provider Name / Credentials Updated August 30, 2021

Recorded as JUSTIN JENNINGS, DMD

📍
Updated Practice Location July 24, 2019

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026532600)

📍
Updated Business Mailing Address July 24, 2019

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026532600)

👤
Provider Name / Credentials Updated July 24, 2019

Recorded as JUSTIN JENNINGS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2019

Dentist (License #D010344 in AZ)

NPI Profile Active October 31, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 31, 2018

Registered at 7778 W LONE CACTUS DR, PEORIA, AZ 853823313 (Tel: 7196414211)

📍
Updated Business Mailing Address October 31, 2018

Registered at 7778 W LONE CACTUS DR, PEORIA, AZ 853823313

👤
Provider Name / Credentials Updated October 31, 2018

Recorded as JUSTIN JENNINGS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2018

Dentist (License #STUDENT in CO)

🟢
Initial NPI Registration & Enumeration October 31, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952878605
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2018
Last Update: June 23, 2026
Sole Proprietor: Yes

Mailing Address

1381 S Patrick Dr

Patrick Afb, FL 329253606

Phone: 3214948241

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.