Individual
DR. JEREMY DAVID BEWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
423 CRUME RD, VINE GROVE, KY 40175-1130
(270) 877-5050
Mailing address
848 ASHLAND ST, WEST LAFAYETTE, IN 47906-1508
(765) 838-2160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12011043A
IN
122300000X
Dentist
Primary
8511
KY
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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