Individual
DR. JEFFREY DAVID PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2025 DECLARATION DR STE B, INDEPENDENCE, KY 41051-7983
(859) 429-1327
Mailing address
2025 DECLARATION DR STE B, INDEPENDENCE, KY 41051-7983
(859) 429-1327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8860
KY
Other
Enumeration date
08/20/2010
Last updated
03/17/2015
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