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Contact Information

JELANI T WASHINGTON SR, DDS
976 EAST FREEWAY DRIVE
SUITE A
CONYERS, GA30094
 Phone: 615-491-2127
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JELANI T WASHINGTON SR · (Male)

NPI Number 1083698757
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/06/2005
Last updated 11/12/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 013277
  • TN License # 8298
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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