DR. Jason Johnson Mcilvain, D.M.D

NPI #1902031453 in Cynthiana, Kentucky

Provider Information

NPI Number: 1902031453
Entity Type: Individual
Name: DR. Jason Johnson Mcilvain, D.M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: May 27, 2009
Last Updated: Jun 8, 2016

Practice Location

Address: 111 KY HIGHWAY 32 W STE 2
City: Cynthiana
State: Kentucky
ZIP Code: 41031-8574
Phone: (859) 234-9944

Specialties & Taxonomy Codes

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

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Organizations

Provider Name	Specialty	City
Cynthiana Dental Center	Dentist	Cynthiana	AI Deep Dive

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