Individual
DR. JEFFERY SHANE JARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6463 HARPER ROAD, SURVEYOR, WV 25932
(304) 934-6269
(304) 934-6223
Mailing address
6463 HARPER RD, SURVEYOR, WV 25932-0000
(304) 934-6269
(304) 934-6223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3252
WV
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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