# DR. JEREMY KYLE HARGROVE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891285425
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | D010003 | AZ | Yes |

## Other

- **Enumeration date:** 05/18/2018
- **Last updated:** 11/06/2022