Provider Demographics
NPI:1851577548
Name:GERBER, JAY W (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:W
Last Name:GERBER
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 1:6 ROSEMAR CIR
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26104-1204
Mailing Address - Country:US
Mailing Address - Phone:304-422-2560
Mailing Address - Fax:304-422-2562
Practice Address - Street 1:6 ROSEMAR CIR
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26104-1204
Practice Address - Country:US
Practice Address - Phone:304-422-2560
Practice Address - Fax:304-422-2562
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2219122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist