NPI Registry.org

John Robert Jaicks

NPI Registration Record

Provider / OrganizationNPIDate Certified
JOHN ROBERT JAICKS15084338222021-06-06

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)

Entity TypeIndividual
Provider NameDr. John Robert Jaicks DMD
Practice Office Address153 W MAIN ST STE 101
NEW ALBANY, OH US
Practice Office Telephone6147417031
Mailing Address153 W MAIN ST STE 101
NEW ALBANY, OH 430549225 US
Contact Endpoints
Other URL []https://mainstreetdentalnewalbany.com/contact/
HPT Codes
CodePractice
License No
State
122300000X PRIMARYAccess to Dentists-General
Dental Providers
Dentist
Dental Providers
Dentist
Dentist

Dental

Dentist
Dental Providers
30.026526
OH
OPI Codes

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