| Tyler W. Jury Dmd, Pllc | |
|
1065 Pendleton Rd Pendleton KY 40055-7721 | |
| (502) 743-9190 | |
| Not Available |
| Full Name | Tyler W. Jury Dmd, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1065 Pendleton Rd, Pendleton, Kentucky |
| Authorized Official Name and Position | Tyler Jury (OWNER) |
| Authorized Official Contact | 5026498773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler W. Jury Dmd, Pllc 1910 Deerwood Ave Louisville KY 40205-1204 Ph: (502) 649-8773 | Tyler W. Jury Dmd, Pllc 1065 Pendleton Rd Pendleton KY 40055-7721 Ph: (502) 743-9190 |
| NPI Number | 1487141552 |
|---|---|
| Provider Enumeration Date | 04/15/2018 |
| Last Update Date | 04/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487141552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |