Individual
DR. JEFFREY JON JEPPERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
520 POPE AVE, US ARMY DENTAL ACTIVTY, FORT LEAVENWORTH, KS 66027-2332
(913) 684-5516
Mailing address
520 POPE AVE, US ARMY DENTAL ACTIVTY, FORT LEAVENWORTH, KS 66027-2332
(913) 684-5516
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61083
KS
1223G0001X
General Practice Dentistry
9039485-9922
UT
Other
Enumeration date
01/15/2015
Last updated
06/08/2016
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