Individual
DR. JEFFREY RUSSELL JAICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21277
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548323389
TYPE II
OH
Enumeration date
05/29/2007
Last updated
07/29/2026
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