Ayers, Jerald Jason

Ayers, Jerald Jason is an individual health care provider with primary practice located at 301 5Th St Ne , Fayette AL 35555-2009. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ayers, Jerald Jason can be contacted via phone (205) 932-4936.

Contact Information

Primary practice address
301 5Th St Ne Fayette AL 35555-2009
Phone: (205) 932-4936
Fax: (205) 932-2390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4758 Alabama

Profile Details

NPI number 1104934223
LBN Legal business name Ayers, Jerald Jason
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Jul 8th, 2007 - about 19 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 1104934223 NPPES
Alabama Other 510-03245 BCBS PROVIDER NUMBER
Alabama Other 904097 BCBS PROVIDER NUMBER

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