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Contact Information

JERRY G. MAYES, PSC
828 SOUTH MAIN STREET
LONDON, KY40741
 Phone: 606-878-7251
 Fax: 606-878-1285
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JERRY G. MAYES, PSC

NPI # 1124158894
LBN Legal business name JERRY G. MAYES, PSC
Authorized official JERRY MAYES - (OWNER DENTIST GENERAL)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2007
Last updated 08/06/2008 - About 18 years ago
Identifiers
KY Medicaid 61900593
KY Other 45000395 EPSDT
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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