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Dr. Jeremy D Leland, DDSMD
Oral and Maxillofacial Surgery (Dentist) in Georgetown, Texas
NPI 1629251624

Jeremy D Leland is a Oral and Maxillofacial Surgery (Dentist) based in Austin, TX and is specialized in Oral and Maxillofacial Surgery. Jeremy D Leland practices in Georgetown, TX and has the professional credentials of DDSMD. The NPI Number for Jeremy D Leland is 1629251624 and holds a License No. (Texas).

The current practice location address for Jeremy D Leland is 3622 Williams Dr, Georgetown, TX and can be reached out via phone at 512-869-0529 and via fax at 512-498-0154.

Location: 3622 Williams Dr, Georgetown, TX, 78765-9500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629251624
Provider Name
Jeremy D Leland
Credential
DDSMD
Provider Entity Type
Individual
Gender
Male
Address
3622 Williams Dr, Georgetown, TX, 78765-9500
Phone Number
512-869-0529
Fax Number
512-498-0154
Provider Enumeration Date
12/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3622 Williams Dr
City
Georgetown
State
Texas
Zip
78628-2415
Phone Number
512-869-0529
Fax Number
512-498-0154
person
Provider Business Mailing Address Details
Address
3622 Williams Dr
City
Georgetown
State
Texas
Zip
78628-2415
Phone Number
512-869-0529
Fax Number
512-498-0154
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
23361 (Texas)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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