Jack H. Leverett in Bainbridge - General Practice
Jack H. Leverett - NPI 1619186392
Jack H. Leverett is a General Practice in Bainbridge, Georgia. Jack H. Leverett practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack H. Leverett is 1619186392. The last update date is 2007-07-08.
Jack H. Leverett's current location address is 1515 Miluli Ave, Bainbridge, Georgia. You can contact this provider via phone number 2292461548. The mailing address for Jack H. Leverett is 1515 Miluli Ave, Bainbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack H. Leverett |
|---|---|
| Address | 1515 Miluli Ave, Bainbridge, Georgia |
| Phone Number | 2292461548 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1619186392 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1515 Miluli Ave |
|---|---|
| City | Bainbridge |
| State | Georgia (GA) |
| Post Code | 398195701 |
| Phone Number | 2292461548 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | GA 11099 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code assigned to Jack H. Leverett by the Centers for Medicare & Medicaid Services?
The Jack H. Leverett has been issued the NPI (National Provider Identifier) 1619186392 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jack H. Leverett's physical address?
The Jack H. Leverett is physically located at 1515 Miluli Ave, in the city of Bainbridge, GA, with the postal code 398195701.
What is Jack H. Leverett's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack H. Leverett is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Jack H. Leverett receive the assignment of its 1619186392 from the Centers for Medicare & Medicaid Services?
The Jack H. Leverett was issued its 1619186392 by the Centers for Medicare & Medicaid Services on 2007-05-21.
When was the information regarding Jack H. Leverett most recently updated?
The details pertaining to the Jack H. Leverett, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.