Jesse Bion Moreland, DDS
Dentist, General Practice in Norcross, GA. Individual provider (NPI-1).
NPI number1174530307
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1174530307
- Entity type
- Individual (NPI-1)
- Name
- Jesse Bion Moreland
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 9276 | GA | Yes |
Practice location
3961 Holcomb Bridge RdNorcross, GA 30092-2207
Phone 770-449-0202
Mailing address
395 Spyglass BlfAlpharetta, GA 30022-6830
Phone 770-645-9232
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All 60 General Practice Dentistry providers in Norcross · All 1,890 providers in Norcross
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