Provider Demographics
NPI:1669486536
Name:PRICE, JEFFERY BRENT (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JEFFERY
Middle Name:BRENT
Last Name:PRICE
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 SCHEPPERGRELL DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3341
Mailing Address - Country:US
Mailing Address - Phone:828-692-5800
Mailing Address - Fax:
Practice Address - Street 1:1103 SCHEPPERGRELL DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3341
Practice Address - Country:US
Practice Address - Phone:828-692-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2012-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC51021223X0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology