Individual
JARRED LLOYD PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2441 21ST ST, FORT CAMPBELL, KY 42223-5582
(707) 988-7512
Mailing address
2441 21ST ST, FORT CAMPBELL, KY 42223-5582
(270) 798-8751
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
28413
TX
1223G0001X
General Practice Dentistry
Primary
28413
TX
Other
Enumeration date
09/27/2012
Last updated
12/12/2023
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