Individual
DR. JOHN KENT JACKFERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12 KANAWHA TER, SUITE B, SAINT ALBANS, WV 25177-2750
(304) 722-7221
Mailing address
12 KANAWHA TER, SUITE B, SAINT ALBANS, WV 25177-2750
(304) 722-7221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3837
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810014898
—
WV
Enumeration date
04/13/2009
Last updated
01/16/2013
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