Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY KENNETH WELDON JR., D.M.D.
ActiveDR. JERRY KENNETH WELDON JR., D.M.D. is a Endodontics healthcare provider located in CLARKESVILLE, Georgia. NPI 1013956606 is currently active in the NPPES registry. Verify at CMS.
Endodontics · CLARKESVILLE, GA
Registration Details
- NPI Number
- 1013956606
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2006 (20.206710640823 yrs)
- Last Updated
- Jul 8, 2007
- License
-
011386 (GA)
Practice Information
- Address
-
172 PROFESSIONAL PARK DRCLARKESVILLE, GA, 305235536Browse GA providers · Browse ZIP 30523
- Phone
- 7067541015
- Fax
- 7067543359
- Primary Specialty
-
Endodontics
1223E0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.