Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN LESLIE CZEREPAK, DMD
ActiveDR. JONATHAN LESLIE CZEREPAK, DMD is a Dentist healthcare provider located in FORT, North Carolina. NPI 1861740722 is currently active in the NPPES registry. Verify at CMS.
Dentist · FORT, NC
Registration Details
- NPI Number
- 1861740722
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 27, 2012 (13.921753136552 yrs)
- Last Updated
- Aug 22, 2017
- Licenses
-
DN1856104 (MA)DN1856104 (MA)DN1856104 (MA)
Practice Information
- Address
-
2716 RIELLY ROADFORT, NC, 283107302Browse NC providers · Browse ZIP 28310
- Phone
- 9106432196
- Fax
- 9103967017
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
- Additional Specialty
- General Dentistry
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.