Individual
DR. JAKE M. JUHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2045 E LABRADOR BLVD, GARDEN CITY, KS 67846-3996
(620) 260-2183
(620) 260-2188
Mailing address
506 E THORPE ST, LAKIN, KS 67860-9625
(620) 355-6500
(620) 355-8007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7129
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110892
BILLING PROVIDER #
KS
Enumeration date
10/24/2005
Last updated
10/30/2023
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