Individual
DR. JEFFREY B DEMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0297
(859) 323-8978
Mailing address
800 ROSE ST, D104, LEXINGTON, KY 40536-0297
(859) 323-8978
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6183
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
6183
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60061835
—
KY
05
—
64061831
—
KY
Enumeration date
09/25/2006
Last updated
01/14/2008
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