Dr. Jerad A. Servais DDS
Dentist in Columbus, OH(View on Map)
Full Name
Dr. Jerad Alfred Servais DDS
NPI Number
1306337670
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/22/2018
Specialties
(Taxonomies)Code
122300000X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Missouri
Ohio
License Number
2018019103
30.025848
Contact
Information
Purpose
Mailing
Location
Address
2301 HOLMES ST
305 W 12 AVE
City
Kansas City
Columbus
State
MO
OH
Postal Code
64108-2640
43210
Country
US
US
Telephone Number
(816) 404-4175
(614) 688-3763
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/01/2019
Provider Address
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