Provider Demographics
NPI:1407141013
Name:LEDFORD, JULIE PATTERSON (DDS)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:PATTERSON
Last Name:LEDFORD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 WALDROUP RD
Mailing Address - Street 2:
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-7196
Mailing Address - Country:US
Mailing Address - Phone:828-389-8714
Mailing Address - Fax:
Practice Address - Street 1:36 WALDROUP RD
Practice Address - Street 2:
Practice Address - City:HAYESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28904-7196
Practice Address - Country:US
Practice Address - Phone:828-389-8714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9159122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist