Individual
DR. JEFF DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
249 GREENBRIAR RD, LEXINGTON, KY 40503-4020
(502) 216-7240
Mailing address
249 GREENBRIAR RD, LEXINGTON, KY 40503
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8479
KY
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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