Les J. Kicklighter, D.m.d., P.c.

NPI 1053442608 - Dentist - 1223G0001X

NPI Details
NPI 1053442608
Enumeration Date 03/07/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LES J. LES
Position PRESIDENT
Phone (912) 489-4151
Fax
Practice Location
512 GENTILLY RD
STATESBORO GA, 30458-5149, US
Phone (912) 489-4151
Fax
Business Location
512 GENTILLY RD
STATESBORO GA, 30458-5149, US
Phone (912) 489-4151
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number DN012401
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According to our database, Les J. Kicklighter, D.m.d., P.c. NPI is 1053442608, taxonomy code is 1223G0001X and license number is DN012401, license state is located at Georgia. Les J. Kicklighter, D.m.d., P.c. physically located at 512 Gentilly Rd, Statesboro GA, 30458-5149. NPI Number 1033115704 has the healthcare provider type.

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1053442608 NPI number is provided on an as is basis without warranty of any kind. 1053442608 is maintained by the National Plan & Provider Enumeration System. The contents of Les J. Kicklighter, D.m.d., P.c. are for informational purposes only.