Individual
DR. THOMAS FORTUNE JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8730 WESTPORT RD, LOUISVILLE, KY 40242-3152
(502) 426-9610
(502) 426-8864
Mailing address
8730 WESTPORT RD, LOUISVILLE, KY 40242-3152
(502) 426-9610
(502) 426-8864
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4053
KY
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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