Individual
JAMES JOEL LASSITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1891 HWY 40 E STE 1105, KINGSLAND, GA 31548-6573
(912) 576-4011
Mailing address
1891 HWY 40 E. SUITE 1105, KINGSLAND, GA 31548-0862
(912) 576-4011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DNO12809
GA
Other
Enumeration date
02/14/2007
Last updated
07/16/2009
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