Individual
CARL ERIC JEFFREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6310 E. KEMPER RD, SUITE #100, CINCINNATI, OH 45241
(513) 522-4961
(513) 522-4962
Mailing address
PO BOX 40498, CINCINNATI, OH 45240-0498
(513) 522-4961
(513) 522-4962
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-01-9137
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0811778
—
OH
Enumeration date
05/01/2007
Last updated
07/08/2007
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