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General NPI Number Information
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NPI Number | 1366850018
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Entity Type | Individual
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Provider Name | VALERIE KIMBERLEY LIGEON DDS
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Gender | Female
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Dates
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Enumeration Date | 07/25/2014
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 9978 OLD BAYMEADOWS RD STE 1
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7960
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Country | US
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Telephone | 904-620-7319
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Fax | 904-620-7319
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Provider Business Mailing Address
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Address Line | 8450 GATE PKWY W UNIT 1408
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City | JACKSONVILLE
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State | FL
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Zip | 32216-1072
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN 20837
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License Number State | FL
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