LES J. KICKLIGHTER, D.M.D., P.C.
NPI 1053442608
Dentist - General Practice in Statesboro, GA

Q: What is Les J. Kicklighter, D.M.D., P.C.'s NPI number?

The NPI number for Les J. Kicklighter, D.M.D., P.C. is 1053442608. It was assigned to this organization in the NPPES registry on March 7, 2007.

Q: What is Les J. Kicklighter, D.M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since March 07, 2007

512 GENTILLY RD, STATESBORO, GA 30458(912) 489-4151 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Les J. Kicklighter, D.m.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LES J. KICKLIGHTER, D.M.D., P.C. (NPI 1053442608) is a healthcare organization registered as a general practice in Statesboro, Georgia and active in the NPI registry since March 2007. The organization lists Les J. Kicklighter, President, as its authorized official.

NPPES Registry Identity

NPI1053442608

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLES J. KICKLIGHTER, D.M.D., P.C.

Location Address512 GENTILLY RDStatesboro, GA 30458-5149

Mailing Address512 Gentilly RdStatesboro, GA 30458-5149 · (912) 489-4151

Phone(912) 489-4151

Organization SubpartNo

Authorized OfficialLes J. KicklighterPresident · (912) 489-4151

Enumeration DateMarch 7, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1053442608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · DN012401

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

512 GENTILLY RD, Statesboro, GA 30458

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Other Identifiers 1

Medicaid00956007AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LES J. KICKLIGHTER D.M.D.

Dentist (General Practice)

512 GENTILLY RD
STATESBORO, GA 30458

Bulloch County (912) 489-4151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Les J. Kicklighter, D.M.D., P.C.'s NPI number?

The NPI number for Les J. Kicklighter, D.M.D., P.C. is 1053442608. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Les J. Kicklighter, D.M.D., P.C. located?

Les J. Kicklighter, D.M.D., P.C. is located at 512 Gentilly Rd, Statesboro, GA 30458. The listed phone number is (912) 489-4151.

What is Les J. Kicklighter, D.M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Les J. Kicklighter, D.M.D., P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.