LES J. KICKLIGHTER, D.M.D., P.C.
Dentist at Gentilly Rd, Statesboro, GA

License number
Georgia DN012401
Category
Dentist
Type
General Practice
Owner
Name: DR. LES J. KICKLIGHTER D.M.D.
Title: PRESIDENT
Phone: (912) 489-4151
Address
Address
512 Gentilly Rd, Statesboro, GA 30458
National Provider ID: 1053442608
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LES J. KICKLIGHTER, D.M.D, PC

512 Gentilly Rd, Statesboro, GA 30458

Industry:
Dentist's Office
Doing business as:
Les J. Kicklighter D.M.D. PC
Registration:
Sep 25, 2001
Phone:
(912) 489-4151 (Phone)
State ID:
0145744
Business type:
Domestic Professional Corporation
CFO, Chief Financial Officers:
Leslie J. Kicklighter (President, Family And General Dentistry),J. Les Kicklighter (CEO), 512 Gentilly Rd, Statesboro, GA 30458 (Physical),Anna Kicklighter CFO, Chief Financial Officer, inactive, 512 Gentilly Rd, Statesboro, GA 30458 (Physical)
Agent:
Les J. Kicklighter Dmd,512 Gentilly Rd, Statesboro, GA (Physical)

Dentist licenses in Georgia