Jack H. Leverett Jr., D.M.D.

General Practice Dentistry · Bainbridge, GA

Individual Active NPI

NPI number 1619186392

Practice location

1515 Miluli Ave
Bainbridge, GA 39819-5701
Phone
(229) 246-1548

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NPI record

NPI
1619186392
Entity type
Individual (Type 1)
Enumeration date
May 21, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X GA 11099 GA

About Dr. Leverett

Jack H. Leverett Jr., D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1515 Miluli Ave, Bainbridge, GA 39819-5701. The NPI number 1619186392 was assigned on May 21, 2007 and the record was last updated on July 8, 2007.

Dr. Leverett lists a license in the registry: #GA 11099 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack H. Leverett Jr., D.M.D.?

The NPI number is 1619186392.

What is the phone number of Dr. Leverett?

The phone number listed for the practice location is (229) 246-1548.

Where is Dr. Leverett located?

1515 Miluli Ave, Bainbridge, GA 39819-5701.

What is the taxonomy code for Dr. Leverett?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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