London Dental Center

LBN: Jerry G. Mayes, Psc
London Dental Center is an health care organization with primary practice located at 828 South Main Street , London KY 40741. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is the primary health care specialty. Jerry G. Mayes, Psc can be contacted via phone (606) 878-7251, or through Mayes, Jerry via phone (606) 878-7251.

Contact Information

Primary practice address
828 South Main Street London KY 40741
Phone: (606) 878-7251
Fax: (606) 878-1285
Website:
Map and Directions
Authorized official contact:
Name: Mayes, Jerry Doctor of Dental Medicine (DMD)
Phone: (606) 878-7251

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1124158894
LBN Legal business name Jerry G. Mayes, Psc
DBA Doing business as London Dental Center
Authorized official Mayes, Jerry Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Aug 6th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124158894 NPPES
Kentucky MEDICAID 61900593
Kentucky Other 45000395

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