Organization
UNIVERSITY OF KENTUCKY, COLLEGE OF DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE JERYN JACOB BDS, MDS (ORTHODONTIST/RESIDENT)
(859) 323-5655
Entity
Organization
Contact information
Practice address
800 ROSE ST, UK CHANDLER HOSPITAL, DENTAL WING, ORTHODONTICS, LEXINGTON, KY 40536
(859) 323-3368
Mailing address
800 ROSE ST, UK CHANDLER HOSPITAL, DENTAL WING, ORTHODONTICS, LEXINGTON, KY 40536-7001
(859) 323-3368
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9682
KY
Other
Enumeration date
02/05/2018
Last updated
02/06/2018
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