National Provider Identifier
David Richard Jerome, DDS
David Richard Jerome, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Lancaster, NY and a listed phone number of (716) 683-5110.
Profile Overview
- NPI
- 1932275856
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- November 24, 2006
- Last Updated
- July 08, 2007
Practice Location
- 5487 Broadway
- Lancaster, NY 14086-2219
Phone: (716) 683-5110
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1932275856
- Entity Type
- Individual
- Last Name
- Jerome
- First Name
- David
- Middle Name
- Richard
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 5487 Broadway
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-2219
- Mailing Country
- US
- Mailing Phone
- (716) 683-5110
- Mailing Fax
- (716) 683-2928
- Practice Street Address
- 5487 Broadway
- Practice City
- Lancaster
- Practice State
- NY
- Practice ZIP Code
- 14086-2219
- Practice Country
- US
- Practice Phone
- (716) 683-5110
- Practice Fax
- (716) 683-2928
- Enumeration Date
- November 24, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)
- Other Identifiers
- 0245051 (NY, Ny State License)