Individual
DR. DOUGLAS E CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
411 ATHENS STREET, JEFFERSON, GA 30549
(706) 367-9861
(706) 367-4083
Mailing address
411 ATHENS STREET, JEFFERSON, GA 30549
(706) 367-9861
(706) 367-4083
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8482
GA
Other
Enumeration date
10/03/2006
Last updated
07/09/2007
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