Individual
DR. JACK B MCEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1650 COSHOCTON AVE, SUITE D, MOUNT VERNON, OH 43050-1547
(740) 392-2000
(740) 392-2002
Mailing address
1650 COSHOCTON AVE, SUITE D, MOUNT VERNON, OH 43050-1547
(740) 392-2000
(740) 392-2002
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30-022456
OH
Other
Enumeration date
02/26/2007
Last updated
12/18/2009
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