Individual
DR. JEFFREY LYNN GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
510 ARENDS RIDGE RD, MARIETTA, OH 45750-5332
(740) 373-8584
(740) 373-8694
Mailing address
PO BOX 117, VINCENT, OH 45784-0117
(740) 678-0211
(740) 678-0212
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30015435
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0716372
—
OH
Enumeration date
05/02/2007
Last updated
07/08/2007
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