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Jones Family Dre PLLC

Dentist in Berea, KY. Organization (NPI-2).

NPI number1003661257
StatusActive
Last updated in NPPESApr 22, 2024

Details

NPI
1003661257
Entity type
Organization (NPI-2)
Legal business name
Jones Family Dre PLLC
Organization subpart
No
Enumeration date
Apr 22, 2024
Certification date
Apr 22, 2024
Last updated
Apr 22, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Practice location

201 Pauline Dr Ste H
Berea, KY 40403-8006

Phone 859-985-0201

Mailing address

105 Spruce St
Lexington, KY 40507-2109

Authorized official

Elizabeth Davis
Director Of Revenue
8595331109

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist providers in Berea, KY

All 10 Dentist providers in Berea · All 429 providers in Berea

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