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Organization

DENTAL ASSOCIATES OF SOUTHWEST GEORGIA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS K LEGGETT JR DMD (OWNER/OPERATOR)
(229) 377-4204
Entity
Organization

Contact information

Practice address
718 N BROAD ST, CAIRO, GA 39828-1607
(229) 377-4204
(229) 377-7753
Mailing address
718 N BROAD ST, CAIRO, GA 39828-1607
(229) 377-4204
(229) 377-7753

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
GA

Other

Enumeration date
07/17/2006
Last updated
07/21/2022
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