Lester, Joe Nathan
Lester, Joe Nathan is an individual health care provider with primary practice located at 1217 Royal Dr Sw , Conyers GA 30094-5967. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lester, Joe Nathan can be contacted via phone (770) 922-6655.Contact Information
Primary practice address
1217 Royal Dr Sw
Conyers GA 30094-5967
Phone: (770) 922-6655
Fax: (770) 388-0521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 9947 | Georgia |
Profile Details
| NPI number | 1356421630 |
|---|---|
| LBN Legal business name | Lester, Joe Nathan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356421630 | NPPES |
| Georgia | MEDICAID | 000287955H |
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