Individual
JEFFERY ALAN KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
171 PRICE RD, FAYETTEVILLE, GA 30215-2016
(770) 460-9795
(770) 460-7536
Mailing address
PO BOX 38, FAYETTEVILLE, GA 30214
(770) 460-9795
(770) 460-7536
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011699
GA
Other
Enumeration date
07/28/2006
Last updated
11/25/2019
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