Organization · Type 2 NPI
R Wesley Lauderback DDS PLLC
Dental Clinic/Center · Jonesborough, TN
NPI number
1679216576
Active
Practice location
222 Headtown Rd
Jonesborough, TN 37659-5073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1679216576
R Wesley Lauderback DDS PLLC's National Provider Identifier is 1679216576, issued on Apr 18, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Jonesborough, TN. The record was last updated on Apr 18, 2022.