SearchMissouri122300000X

Jerin Joseph, DDS

NPI 1548714090 · on the registry since 2016 · sole proprietor

Practice

Address
6958 Nebraska Ave
Bldg 1608
Fort Leonard Wood, MO 65473
Phone
(573) 596-0411
Fax
(573) 596-0410
Clinicians at this address
27

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
Licence states on file
PA, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri