Jack H. Leverett JR. D.M.D.

NPI 1619186392 - Dentist - 1223G0001X

NPI Details
NPI 1619186392
Gender Male
Enumeration Date 05/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1515 MILULI AVE
BAINBRIDGE GA, 39819-5701, US
Phone (229) 246-1548
Fax
Business Location
1515 MILULI AVE
BAINBRIDGE GA, 39819-5701, US
Phone (229) 246-1548
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number GA 11099
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According to our database, Dr. Jack H. Leverett JR. D.M.D. NPI is 1619186392, taxonomy code is 1223G0001X and license number is GA 11099, license state is located at Georgia. Jack H. Leverett JR. D.M.D. physically located at 1515 Miluli Ave, Bainbridge GA, 39819-5701. NPI Number Jack H. Leverett JR. D.M.D. has the Individual type.

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1619186392 NPI number is provided on an as is basis without warranty of any kind. 1619186392 is maintained by the National Plan & Provider Enumeration System. The contents of Jack H. Leverett JR. D.M.D. are for informational purposes only.