Individual
JACK R MERCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1779 PATRICK DR, BURLINGTON, KY 41005-7302
(859) 689-2730
(859) 689-2731
Mailing address
1779 PATRICK DR, BURLINGTON, KY 41005-7302
(859) 689-2730
(859) 689-2731
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9094
KY
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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