Organization
LESTER DENTAL GROUP LLC
Active
Other names
Joe N Lester DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE N LESTER DDS (OWNER)
(770) 922-6655
Entity
Organization
Contact information
Practice address
1217 ROYAL DR SW, CONYERS, GA 30094-5967
(770) 922-6655
(770) 388-0521
Mailing address
1217 ROYAL DR SW, CONYERS, GA 30094-5967
(770) 922-6655
(770) 388-0521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009947
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000287955H
—
GA
05
—
000900974A
—
GA
05
—
039132651A
—
GA
05
—
801628040C
—
GA
Enumeration date
11/07/2006
Last updated
06/14/2012
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