Individual
DR. JEFFREY MICHAEL SEGNERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2054 EAGLE DR, SUITE 120, WOODSTOCK, GA 30189-6994
(770) 635-0350
Mailing address
2054 EAGLE DR, SUITE 120, WOODSTOCK, GA 30189-6994
(770) 635-0350
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN014488
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN1855497
MA
Other
Enumeration date
07/09/2010
Last updated
11/06/2015
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