Individual
DR. SEAN BLAIR JEPPESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
222 CHAMBLESS LN, HAMILTON, GA 31811-6144
(706) 641-0432
Mailing address
222 CHAMBLESS LN, HAMILTON, GA 31811-6144
(706) 641-0432
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122690
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN122690
DENTAL LICENSE NUMBER
GA
Enumeration date
06/29/2022
Last updated
06/29/2022
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