Provider Demographics
NPI:1386655728
Name:VERNER, JEFFREY P (DMD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:P
Last Name:VERNER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2585 WASHINGTON ROAD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:UPPER ST. CLAIR
Mailing Address - State:PA
Mailing Address - Zip Code:15241
Mailing Address - Country:US
Mailing Address - Phone:412-854-4492
Mailing Address - Fax:412-854-0913
Practice Address - Street 1:2585 WASHINGTON ROAD
Practice Address - Street 2:SUITE 110
Practice Address - City:UPPER ST. CLAIR
Practice Address - State:PA
Practice Address - Zip Code:15241
Practice Address - Country:US
Practice Address - Phone:412-854-4492
Practice Address - Fax:412-854-0913
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029573L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist