Individual
DR. JASON LYNN PENDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4921 GOETZ LN, OWENSBORO, KY 42301-9663
(270) 926-0190
(270) 926-7596
Mailing address
4921 GOETZ LN, OWENSBORO, KY 42301-9663
(270) 926-0190
(270) 926-7596
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8635
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8635
DENTAL INSURANCE
KY
Enumeration date
07/23/2008
Last updated
04/21/2011
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