Individual
DR. JERALD JASON AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
301 5TH ST NE, FAYETTE, AL 35555-2009
(205) 932-4936
(205) 932-2390
Mailing address
301 5TH ST NE, FAYETTE, AL 35555-2009
(205) 932-4936
(205) 932-2390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4758
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-03245
BCBS PROVIDER NUMBER
AL
01
—
904097
UNITED CONCORDIA PROVIDER
AL
Enumeration date
08/28/2006
Last updated
07/08/2007
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