Jerome P Wellbrock, D.M.D. Valid NPI
Individual provider · General Practice Dentistry · Covington, KY
- NPI
- 1124156419
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 5122 (KY)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-03-01
- Last updated
- 2007-07-08
Practice location
15 W Southern Ave
Covington, KY 41015-1481
(859) 491-1266