Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LEROY JUSTICE, .D.D.S
ActiveDR. LEROY JUSTICE, .D.D.S is a General Dentistry healthcare provider located in SPARTA, Georgia. NPI 1619185576 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SPARTA, GA
Registration Details
- NPI Number
- 1619185576
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2007 (19.050574987282 yrs)
- Last Updated
- Jul 12, 2007
- License
-
8775 (GA)
Practice Information
- Address
-
12900 BROAD STSPARTA, GA, 310871737Browse GA providers · Browse ZIP 31087
- Phone
- 7064446886
- Fax
- 7064447779
- Primary Specialty
-
General Dentistry
1223G0001X
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.