DR. Ben Wall Jernigan JR., DMD

NPI #1710009147 in Decatur, Georgia

Provider Information

NPI Number
1710009147
Entity Type
Individual
Name
DR. Ben Wall Jernigan JR., DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Apr 5, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
315 W PONCE DE LEON AVE
Address 2
SUITE 340
State
Georgia
ZIP Code
30030-2400
Phone
(404) 378-1466

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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