Individual
DR. JEFFREY STUART LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1500 W 12TH ST, LAUREL, MS 39440-2654
(601) 649-3471
Mailing address
1500 W 12TH ST, LAUREL, MS 39440-2654
(601) 649-3471
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3078-99
MS
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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