Most Relevant Information
Provider Data
| NPI Number: | 1003062456 |
| Provider Name: | JEFFREY W KILGORE D.M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 1277 |
Most Important Dates
| Enumeration Date: | 08/15/2008 |
| Last Updated: | 08/27/2008 |
Provider Practice Location
1606 23RD AVE
FAIRBANKS
AK
997016407
Practice Location Phone/Fax
| Phone: | 9074554567 |
| Fax: | 9074581589 |
Provider Mailing Location
1606 23RD AVE
FAIRBANKS
AK
997016407
Provider Mailing Phone/Fax
| Phone: | 9074554567 |
| Fax: | 9074581589 |