Individual
DR. JASON W GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10 RIVER DRIVE, IRVINE, KY 40336
(606) 723-1000
(606) 723-1039
Mailing address
PO BOX 86, 10 RIVER DRIVE, IRVINE, KY 40336
(606) 723-1000
(606) 723-1039
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7138
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45000452
—
KY
05
—
60071388
—
KY
Enumeration date
11/01/2006
Last updated
11/24/2015
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