Jeffrey R Jaicks DDS LLC

NPI #1548323389 in Johnstown, Ohio

Provider Information

NPI Number: 1548323389
Entity Type: Organization
Organization Name: Jeffrey R Jaicks DDS LLC
Primary Specialty: Dentist
Enumeration Date: Dec 19, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 171 W COSHOCTON STREET
City: Johnstown
State: Ohio
ZIP Code: 43031
Phone: (740) 967-1444

Authorized Official

Name: DR. JEFFREY RUSSELL JAICKS, DDS
Title: DENTIST
Phone: (740) 967-1444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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