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NPI Code Detail

MEDICARE: DR. CRAIG WILLARD JESTER DDS

MEDICARE:  DR. CRAIG WILLARD JESTER  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDS018390LPA

General Provider Information

NPI Number : 1205186491
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRAIG WILLARD JESTER DDS
Provider Business Mailing Address
First Line : 606 E MARSHALL ST
Second Line : SUITE 208
City : WEST CHESTER
State : PA
Zip : 19380-4452
Country : US
Telephone Number : 610-696-6070
Fax Number : 610-692-6502
Provider Business Practice Location Address
First Line : 606 E MARSHALL ST
Second Line : SUITE 208
City : WEST CHESTER
State : PA
Zip : 19380-4452
Country : US
Telephone Number : 610-696-6070
Fax Number : 610-692-6502
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2012
Last Update Date : 09/14/2012

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Directions to “ DR. CRAIG WILLARD JESTER DDS” Practice Location

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