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
Fax: (770) 388-0521
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356421630 NPPES
Georgia MEDICAID 000287955H

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