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Jake Dale Murley, DMD

Dentist, General Practice in Glasgow, KY. Individual provider (NPI-1).

NPI number1699343236
StatusActive
Last updated in NPPESJun 10, 2021

Details

NPI
1699343236
Entity type
Individual (NPI-1)
Name
Jake Dale Murley
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 10, 2021
Certification date
Jun 10, 2021
Last updated
Jun 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice10643KYYes

Practice location

101 State Ave
Glasgow, KY 42141-1448

Phone 270-651-5939

Mailing address

302 Akersville Rd
Fountain Run, KY 42133-7912

Phone 270-646-6673

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