| Jeesomin | |
|
219 W Hamilton Ave Myerstown PA 17067-2360 | |
| (717) 866-5123 | |
| Not Available |
| Full Name | Jeesomin |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 219 W Hamilton Ave, Myerstown, Pennsylvania |
| Authorized Official Name and Position | Thomas William Noone (VICE PRESIDENT) |
| Authorized Official Contact | 7178665123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeesomin 219 W Hamilton Ave Myerstown PA 17067-2360 Ph: (717) 866-5123 | Jeesomin 219 W Hamilton Ave Myerstown PA 17067-2360 Ph: (717) 866-5123 |
| NPI Number | 1427424076 |
|---|---|
| Provider Enumeration Date | 08/18/2015 |
| Last Update Date | 08/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427424076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS029040L (Pennsylvania) | Secondary |
| 1223G0001X | Dentist - General Practice | DS028570L (Pennsylvania) | Primary |
Kegerreis Dental, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 W Hamilton Ave, Myerstown, PA 17067 Phone: 717-866-5123 Fax: 717-866-2967 |