Individual
PHILIP CONRAD JAYNES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
1502 E BROADWAY, STE 209, COLUMBIA, MO 65201-8076
(573) 443-7230
(573) 256-8720
Mailing address
1502 E BROADWAY, STE 209, COLUMBIA, MO 65201-8076
(573) 443-7230
(573) 256-8720
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
011954
MO
Other
Enumeration date
06/21/2005
Last updated
07/08/2007
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