DR. Jack H. Leverett JR., D.M.D.
NPI #1619186392 in Bainbridge, Georgia
Provider Information
- NPI Number
- 1619186392
- Entity Type
- Individual
- Name
- DR. Jack H. Leverett JR., D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- May 21, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1515 MILULI AVE
- City
- Bainbridge
- State
- Georgia
- ZIP Code
- 39819-5701
- Phone
- (229) 246-1548
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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