Individual
DR. JERRY WAYNE CAUDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
51 CARRIE LN, CAMPBELLSBURG, KY 40011-6218
(502) 414-1114
(502) 236-0555
Mailing address
51 CARRIE LN, CAMPBELLSBURG, KY 40011-6218
(502) 414-1114
(502) 236-0555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5408
KY
Other
Enumeration date
09/21/2006
Last updated
01/16/2020
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