Samuel Jason Ledford D.M.D.

NPI 1154504090 - Dentist - 122300000X

NPI Details
NPI 1154504090
Gender Male
Enumeration Date 12/14/2007
Last Updated 12/14/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
19 S. MAIN ST.
Phone (706) 896-4154
Fax (706) 896-4156
Business Location
PO BOX 289
HIAWASSEE GA, 30546-0289, US
Phone (706) 896-4154
Fax (706) 896-4156
Taxonomy Code 122300000X
License State Georgia
License Number 011702
Remove 1154504090 NPI Number

According to our database, Dr. Samuel Jason Ledford D.M.D. NPI is 1154504090, taxonomy code is 122300000X and license number is 011702, license state is located at Georgia. Samuel Jason Ledford D.M.D. physically located at 19 S. Main St., Hiawassee GA, 30546. NPI Number Samuel Jason Ledford D.M.D. has the Individual type.

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1154504090 NPI number is provided on an as is basis without warranty of any kind. 1154504090 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Jason Ledford D.M.D. are for informational purposes only.