Individual
DR. JEREMIAH GATES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3510 BARDSTOWN RD, LOUISVILLE, KY 40218-4604
(502) 442-7195
Mailing address
3510 BARDSTOWN RD, LOUISVILLE, KY 40218-4604
(502) 442-7195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9207
KY
Other
Enumeration date
05/14/2012
Last updated
02/20/2014
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