person
Dr. Les J. Kicklighter, DMD
General Practice Dentistry in Statesboro, Georgia
NPI 1417075623

Les J. Kicklighter is a General Practice Dentistry based in Statesboro, GA and is specialized in General Practice. Les J. Kicklighter practices in Statesboro, GA and has the professional credentials of DMD. The NPI Number for Les J. Kicklighter is 1417075623 and holds a License No. 012401 (Georgia).

The current practice location address for Les J. Kicklighter is 512 Gentilly Rd, Statesboro, GA and can be reached out via phone at 912-489-4151.

Location: 512 Gentilly Rd, Statesboro, GA, 30458-4265
person
Provider Profile Details
NPI Number
1417075623
Provider Name
Les J. Kicklighter
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
512 Gentilly Rd, Statesboro, GA, 30458-4265
Phone Number
912-489-4151
Fax Number
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00956007A 05 GA
institution
Provider Business Practice Location Address Details
Address
512 Gentilly Rd
City
State
Zip
30458-5149
Phone Number
912-489-4151
Fax Number
person
Provider Business Mailing Address Details
Address
512 Gentilly Rd
City
State
Zip
30458-5149
Phone Number
912-489-4151
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
012401 (Georgia)
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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