Organization · Type 2 NPI
Tyler W. Jury Dmd, PLLC
Dental Clinic/Center · Pendleton, KY
NPI number
1487141552
Active
Practice location
1065 Pendleton Rd
Pendleton, KY 40055-7721
Mailing address
1910 Deerwood Ave
Louisville, KY 40205-1204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1487141552
Tyler W. Jury Dmd, PLLC's National Provider Identifier is 1487141552, issued on Apr 15, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pendleton, KY. The record was last updated on Apr 15, 2018.