Leo K Jernigan, D.M.D.
NPI #1427212182 in Gulf Shores, Alabama
Provider Information
- NPI Number
- 1427212182
- Entity Type
- Individual
- Name
- Leo K Jernigan, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Jul 11, 2008
- Last Updated
- Jul 11, 2008
Practice Location
- Address
- 100 W 1ST AVE
- Address 2
- 1 PROFESSIONAL PK
- City
- Gulf Shores
- State
- Alabama
- ZIP Code
- 36542-6452
- Phone
- (251) 968-7170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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