JERRY G. MAYES, PSC (NPI# 1124158894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124158894 |
| Entity Type | Organization |
| Organization Name | JERRY G. MAYES, PSC |
| Other Organization Name | LONDON DENTAL CENTER |
| Practice Address |
828 South Main Street London KY 40741 |
| Practice Telephone | 6068787251 |
| Practice Fax Number | 6068781285 |
| Mailing Telephone | 6068787251 |
| Mailing Fax Number | 6068781285 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-08-06 |
| Authorized Official Name | MR. JERRY MAYES (OWNER DENTIST GENERAL) |
| Authorized Official Telephone | 6068787251 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 61900593 | 05 | |
| KY | EPSDT | 45000395 | 01 |
| Other Name | Type Code |
|---|---|
| London Dental Center | Doing Business As Name - Organization |
| Street Address |
828 SOUTH MAIN STREET |
| City | LONDON |
| State | KY |
| Zip Code | 40741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518097294 | Michael Wood | Dentist | 828 South Main Street, London, KY 40741 | 2007-03-06 |
| 1194855866 | Jerry G Mayes | Dentist | 828 South Main Street, London, KY 40741 | 2007-03-06 |
| 1992835664 | Tina Mcgeorge | Dentist | 828 South Main Street, London, KY 40741 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
| Find all providers in zip 40741 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689104598 | Judy Reu | Dentist | 391 Lafayette St, London, OH 43140-9326 | 2017-06-13 |
| 1962788802 | Sampson Dentistry Inc | Dentist | 1340 Us Highway 42 Ne, London, OH 43140-8516 | 2011-10-24 |
| 1700017738 | William F. Hast | Dentist | 1106 S Main St Ste B, London, KY 40741-2109 | 2009-08-08 |
| 1386774057 | Jeremy W Allen | Dentist | 908 W 5th St, Suite 114, London, KY 40741-2417 | 2007-03-06 |
| 1497883573 | William F Hast Dmd Psc | Dentist | 1106 B South Main Street, London, KY 40741 | 2007-03-01 |
| 1255448403 | Shera Newcomb | Dentist | 1303 S Laurel Rd, London, KY 40744-8304 | 2006-08-24 |
| 1285749465 | Mark M Lima | Dentist | 116 E High St, London, OH 43140-1229 | 2006-08-20 |
| 1457375594 | Michael Christopher Herren | Dentist | 823 South Main Street, London, KY 40741 | 2006-07-26 |
| 1700145968 | Modern Dental Solutions | Dentist | 735 Meyers Baker Rd, London, KY 40741-3008 | 2012-05-09 |
| 1790078905 | Dowell Family Dentistry, Psc | Dentist | 615 Meyers Baker Rd, London, KY 40741-3006 | 2011-05-20 |
| Find all providers in LONDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.