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W . Jarrod Gregg, Dds, Llc
Dental Clinic/Center in Vidalia, Louisiana
NPI 1407479819

W . Jarrod Gregg, Dds, Llc is a Dental Clinic/Center based in Vidalia, LA and is specialized in Dental. W . Jarrod Gregg, Dds, Llc practices in Vidalia, LA. The NPI Number for W . Jarrod Gregg, Dds, Llc is 1407479819 and holds a License No. (Louisiana).

The current practice location address for W . Jarrod Gregg, Dds, Llc is 1148 Logan Sewell Dr, Vidalia, LA and can be reached out via phone at 318-336-5711.

Location: 1148 Logan Sewell Dr, Vidalia, LA, 71373-3342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407479819
Provider Name
W . Jarrod Gregg, Dds, Llc
Credential
Provider Entity Type
Organization
Address
1148 Logan Sewell Dr, Vidalia, LA, 71373-3342
Phone Number
318-336-5711
Fax Number
Provider Enumeration Date
05/20/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
29821 05 LA
institution
Provider Business Practice Location Address Details
Address
1148 Logan Sewell Dr
City
Vidalia
State
Louisiana
Zip
71373-3342
Phone Number
318-336-5711
Fax Number
person
Provider Business Mailing Address Details
Address
1148 Logan Sewell Dr
City
Vidalia
State
Louisiana
Zip
71373-3342
Phone Number
318-336-5711
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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