Provider Demographics
NPI:1316372733
Name:KERBS, JEFFRY S (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFRY
Middle Name:S
Last Name:KERBS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 S HICKORY ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4355
Mailing Address - Country:US
Mailing Address - Phone:760-746-3663
Mailing Address - Fax:760-746-4069
Practice Address - Street 1:240 S HICKORY ST
Practice Address - Street 2:SUITE 207
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4355
Practice Address - Country:US
Practice Address - Phone:760-746-3663
Practice Address - Fax:760-746-4069
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA031937122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist