Individual
DR. WESLIE ANN BLACKLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
97 HAL CROCKER RD, ELLISVILLE, MS 39437-2088
(601) 477-3779
Mailing address
16 PARKER RDG, PETAL, MS 39465-9274
(601) 480-3531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
112663
MS
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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