Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY B BOOTH, D.D.S, M.S.
ActiveDR. JERRY B BOOTH, D.D.S, M.S. is a Oral & Maxillofacial Surgery healthcare provider located in JACKSON, Michigan. NPI 1134224116 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · JACKSON, MI
Registration Details
- NPI Number
- 1134224116
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2006 (19.727709643461 yrs)
- Last Updated
- Dec 23, 2021
- License
-
JB008016 (MI)
Practice Information
- Address
-
683 ROBINSON RDJACKSON, MI, 492031155Browse MI providers · Browse ZIP 49203
- Phone
- 5177870417
- Fax
- 5177875536
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in JACKSON, MI
| Name | Credential | NPI |
|---|---|---|
| DR. ORSON P CARDON | D.M.D. | 1851496830 |
| MS. CYNTHIA A RIDER | D.M.D. | 1225123078 |
| DR. RONNIE RAY SORROW JR. | DDS | 1962659680 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.