Individual
DR. JERRY ALAN MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2301 SOUTH 7TH STREET, SUITE 1, IRONTON, OH 45638
(740) 532-4613
(740) 532-8099
Mailing address
2301 SOUTH 7TH STREET, SUITE 1, IRONTON, OH 45638
(740) 532-4613
(740) 532-8099
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19061
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5949
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
5949
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0751575
—
OH
01
—
60059490
DENTAL PROVIDER NUMBER
KY
01
—
64059496
MEDICAL PROVIDER NUMBER
KY
Enumeration date
08/02/2006
Last updated
01/16/2011
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