Leydecker, Fred J
Leydecker, Fred J is an individual health care provider with primary practice located at 4520 Nelson Brogdon Blvd , Sugar Hill GA 30518-3478. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Leydecker, Fred J can be contacted via phone (770) 296-5032.Contact Information
Primary practice address
4520 Nelson Brogdon Blvd
Sugar Hill GA 30518-3478
Phone: (770) 296-5032
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN013442 | Georgia |
Profile Details
| NPI number | 1639181159 |
|---|---|
| LBN Legal business name | Leydecker, Fred J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Sep 12th, 2011 - about 14 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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