Individual
JEREMY M JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
22808 ROUTE 68, CLARION, PA 16214-8512
(814) 223-9968
(814) 223-9967
Mailing address
22808 ROUTE 68, CLARION, PA 16214-8512
(814) 223-9968
(814) 223-9967
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037503
PA
Other
Enumeration date
07/08/2008
Last updated
03/23/2016
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