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NPI Code Detail

MEDICARE: DR. JEFFREY DEAN PATTON D.D.S.

MEDICARE:  DR. JEFFREY DEAN PATTON  D.D.S.
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 Dentistry012232MO

General Provider Information

NPI Number : 1831212703
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY DEAN PATTON D.D.S.
Provider Business Mailing Address
First Line : 659 SYLVAN LN
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63701-6900
Country : US
Telephone Number : 573-334-0390
Fax Number :
Provider Business Practice Location Address
First Line : 2906 BRECKENRIDGE DR
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63701-1728
Country : US
Telephone Number : 573-334-8798
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2007
Last Update Date : 07/08/2007

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Directions to “ DR. JEFFREY DEAN PATTON D.D.S.” Practice Location

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