Individual
MR. JEFFREY LAYNE WINFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
115 WEST MUNN STREET, DAWSON SPRINGS, KY 42408
(270) 797-4171
Mailing address
115 WEST MUNN STREET, DAWSON SPRINGS, KY 42408
(270) 797-4171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5402
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60054020
—
KY
Enumeration date
08/08/2006
Last updated
07/08/2007
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