Jerry G. Mayes, Psc

NPI #1124158894 in London, Kentucky

Provider Information

NPI Number: 1124158894
Entity Type: Organization
Organization Name: Jerry G. Mayes, Psc
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 6, 2007
Last Updated: Aug 6, 2008

Practice Location

Address: 828 SOUTH MAIN STREET
City: London
State: Kentucky
ZIP Code: 40741
Phone: (606) 878-7251

Authorized Official

Name: MR. JERRY MAYES, DMD
Title: OWNER DENTIST GENERAL
Phone: (606) 878-7251

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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