Organization
JEFFREY R JAICKS DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY RUSSELL JAICKS DDS (DENTIST)
(740) 967-1444
Entity
Organization
Contact information
Practice address
171 W COSHOCTON STREET, JOHNSTOWN, OH 43031
(740) 967-1444
(740) 967-2610
Mailing address
171 W COSHOCTON STREET, JOHNSTOWN, OH 43031
(740) 967-1444
(740) 967-2610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21277
OH
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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