DR. JERRY ALAN MAYER DMD
Surgery Yellow Pages
Ironton, Ohio
Provider NPI: 1235146101
Provider Information:DR. JERRY ALAN MAYER DMD
Practice Location:
2301 SOUTH 7TH STREET SUITE 1 IRONTON, OH 45638 US
Tel: 740-532-4613 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 204E00000X | Physicians Oral & Maxillofacial Surgery | KY | 5949 |
Y | 1223S0112X | Dental Providers Dentist | OH | 19061 |
N | 1223S0112X | Dental Providers Dentist | KY | 5949 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MEDICAL PROVIDER NUMBER | 64059496 | KY | 01 |
DENTAL PROVIDER NUMBER | 60059490 | KY | 01 |
0751575 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin