Individual
DR. JEFFREY KERPER LADINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2417 MCGUIRE BLVD, JOINT BASE MDL, NJ 08641
(609) 754-3787
Mailing address
2417 MCGUIRE BLVD, JB MDL, NJ 08641-5116
(609) 754-3787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6687
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1027451329
DOD ID
—
Enumeration date
08/29/2005
Last updated
08/14/2018
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