| Leroy Justice Dds,pc | |
|
12900 Broad Street Sparta GA 31087-1737 | |
| (706) 444-6886 | |
| (706) 444-7779 |
| Full Name | Leroy Justice Dds,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12900 Broad Street, Sparta, Georgia |
| Authorized Official Name and Position | Leroy Justice (DENTIST/PRESIDENT) |
| Authorized Official Contact | 7064446886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leroy Justice Dds,pc 12900 Broad St Sparta GA 31087-1737 Ph: (706) 444-6886 | Leroy Justice Dds,pc 12900 Broad Street Sparta GA 31087-1737 Ph: (706) 444-6886 |
| NPI Number | 1477725323 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477725323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |