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J KENNETH WELDON JR DMD LLC NPI 1275660904


NPI Information

NPI: 1275660904
Provider Name: J KENNETH WELDON, JR, DMD LLC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
172 PROFESSIONAL PARK DR
CLARKESVILLE, GA
ZIP 30523
Phone: (706) 754-1015
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J KENNETH WELDON, JR, DMD LLC is an endodontics dentist in Clarkesville, GA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. J KENNETH WELDON, JR, DMD LLC NPI is 1275660904. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

172 PROFESSIONAL PARK DR
CLARKESVILLE, GA
ZIP 30523-536
Phone: (706) 754-1015

The provider's authorized official is J. Kenneth Weldon .
The authorized official title is Owner and has the following contact phone number (706) 754-1015.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics011386GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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