Organization
JARRELL FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF S. JARRELL DDS (DOCTOR/OWNNER)
(304) 934-6269
Entity
Organization
Contact information
Practice address
6463 HARPER ROAD, SURVEYOR, WV 25932
(304) 934-6269
(304) 934-6223
Mailing address
PO BOX 290, SURVEYOR, WV 25932-0290
(304) 934-6269
(304) 934-6223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3252
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810009412
—
WV
Enumeration date
05/21/2008
Last updated
05/21/2008
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