Mayer, Jerry Alan

Mayer, Jerry Alan is an individual health care provider with primary practice located at 2301 South 7Th Street Suite 1, Ironton OH 45638. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Mayer, Jerry Alan can be contacted via phone (740) 532-4613.

Contact Information

Primary practice address
2301 South 7Th Street Suite 1 Ironton OH 45638
Phone: (740) 532-4613
Fax: (740) 532-8099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 5949 Kentucky
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 19061 Ohio
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5949 Kentucky

Profile Details

NPI number 1235146101
LBN Legal business name Mayer, Jerry Alan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jan 16th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235146101 NPPES
Kentucky Other 64059496 MEDICAL PROVIDER NUMBER
Kentucky MEDICAID 0751575 MEDICAL PROVIDER NUMBER
Kentucky Other 60059490 MEDICAL PROVIDER NUMBER

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