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NPI Code Detail

MEDICARE: DR. ANDREW DAVID JEFFERS DMD

MEDICARE:  DR. ANDREW DAVID JEFFERS  DMD
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 DentistryDS038402PA

General Provider Information

NPI Number : 1487961652
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW DAVID JEFFERS DMD
Provider Business Mailing Address
First Line : 224 E WATSON ST
Second Line :
City : BEDFORD
State : PA
Zip : 15522-1752
Country : US
Telephone Number : 814-623-7015
Fax Number : 814-623-7522
Provider Business Practice Location Address
First Line : 224 E WATSON ST
Second Line :
City : BEDFORD
State : PA
Zip : 15522-1752
Country : US
Telephone Number : 814-623-7015
Fax Number : 814-623-7522
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2010
Last Update Date : 11/27/2016

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Directions to “ DR. ANDREW DAVID JEFFERS DMD” Practice Location

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