NPI 1124156419

Jerome P Wellbrock, DMD

Practitioner General Practice Dentistry Covington, KY

Practice location

Address: 15 W Southern Ave, Covington, KY 41015-1481
Phone: (859) 491-1266
Fax: (859) 491-1244

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 5122 (KY)

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Registry record

NPI: 1124156419
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.