Provider / Organization | NPI | Date Certified |
---|---|---|
JOHN ROBERT JAICKS | 1508433822 | 2021-06-06 |
John Robert Jaicks is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1508433822. Registration indicates John Robert Jaicks is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers) Access to Dentists-General (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
Entity Type | Individual |
Provider Name | Dr. John Robert Jaicks DMD |
Practice Office Address | 590 FARRINGTON HWY UNIT 523 KAPOLEI, HI US |
Practice Office Telephone | 8086749988 |
Mailing Address | 590 FARRINGTON HWY UNIT 523 KAPOLEI, HI 967072034 US |
Address | City / State | Phone / Fax |
---|---|---|
153 W Main St Ste 101 | New Albany, OH 430549225 | 6147417031 |
Other URL [] | https://mainstreetdentalnewalbany.com/contact/ |
Code | Practice | License No State |
---|---|---|
122300000X | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 30.026526
OH |
122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | DT-3135
HI |