Individual
DR. JACK T FIFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
US HWY 421 S MAIN STREET, MC KEE, KY 40447
(606) 287-8326
(606) 287-8327
Mailing address
PO BOX 247, MC KEE, KY 40447-0247
(606) 287-8326
(606) 287-8327
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4659
KY
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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