is a Dentist in Raleigh, North Carolina. practices all healthcare services and medical treatments related to Dentist. The NPI Number for is 1386801397. The last update date is .
's current location address is 5613 Duraleigh Rd, Raleigh, North Carolina. You can contact this provider via phone number 9198351710 and fax number 9197190389. The mailing address for is 5613 Duraleigh Rd, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 5613 Duraleigh Rd, Raleigh, North Carolina |
| Phone Number | 9198351710 |
| Fax Number | 9197190389 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1386801397 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 5613 Duraleigh Rd |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276122694 |
| Phone Number | 9198351710 |
| Fax Number | 9197190389 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6444 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 899006K | NC | -- |
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