# UNIVERSITY OF KENTUCKY, COLLEGE OF DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891294807
- **Authorized official:** DR. GEORGE JERYN JACOB BDS, MDS (ORTHODONTIST/RESIDENT)
- **Authorized official phone:** (859) 323-5655

## Contact information

- **Practice address:** 800 ROSE ST, UK CHANDLER HOSPITAL, DENTAL WING, ORTHODONTICS, LEXINGTON, KY 40536
- **Practice address phone:** (859) 323-3368
- **Mailing address:** 800 ROSE ST, UK CHANDLER HOSPITAL, DENTAL WING, ORTHODONTICS, LEXINGTON, KY 40536-7001
- **Mailing address phone:** (859) 323-3368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 9682 | KY | Yes |

## Other

- **Enumeration date:** 02/05/2018
- **Last updated:** 02/06/2018