Leland, Jeremy D

Leland, Jeremy D is an individual health care provider with primary practice located at 3622 Williams Dr Bldg 1, Georgetown TX 78628-2415. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Leland, Jeremy D can be contacted via phone (512) 869-0529.

Contact Information

Primary practice address
3622 Williams Dr Bldg 1 Georgetown TX 78628-2415
Phone: (512) 869-0529
Fax: (512) 498-0154
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 23361 Texas
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 23361 Texas

Profile Details

NPI number 1629251624
LBN Legal business name Leland, Jeremy D
Credentials DDS MD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2007
Last updated Sep 19th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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