Kerry P. Cogburn, Dds, Pa in Clyde - General Practice

Kerry P. Cogburn, Dds, Pa - NPI 1952574261

Kerry P. Cogburn, Dds, Pa is a General Practice in Clyde, North Carolina. Kerry P. Cogburn, Dds, Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kerry P. Cogburn, Dds, Pa is 1952574261. The last update date is 2008-04-08.

Kerry P. Cogburn, Dds, Pa's current location address is 418 Jones Cove Rd, Clyde, North Carolina. You can contact this provider via phone number 8286279285 and fax number 8286279287. The mailing address for Kerry P. Cogburn, Dds, Pa is 418 Jones Cove Rd, Clyde, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kerry P. Cogburn, Dds, Pa
Address 418 Jones Cove Rd, Clyde, North Carolina
Phone Number 8286279285
Fax Number 8286279287
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Cogburn P Kerry
Credentials DDS,PA
Telephone Number 8286279285

NPI Number Detail

NPI Number 1952574261
Provider Enumeration Date 2008-04-08
Last Updated Date 2008-04-08

Provider Mailing Address Detail

Address 418 Jones Cove Rd
City Clyde
State North Carolina (NC)
Post Code 287219458
Phone Number 8286279285
Fax Number 8286279287

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3906
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8991701 NC --

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FAQs about Kerry P. Cogburn, Dds, Pa

What is the Kerry P. Cogburn, Dds, Pa's unique identification number?

The Kerry P. Cogburn, Dds, Pa has been assigned the NPI (National Provider Identifier) Number 1952574261 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Kerry P. Cogburn, Dds, Pa is geographically located?

The Kerry P. Cogburn, Dds, Pa is physically situated at the following location: 418 Jones Cove Rd, Clyde, NC, 287219458.

What is Kerry P. Cogburn, Dds, Pa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kerry P. Cogburn, Dds, Pa's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Kerry P. Cogburn, Dds, Pa receive its 1952574261 assignment from the Centers for Medicare & Medicaid Services?

The Kerry P. Cogburn, Dds, Pa was assigned its 1952574261 by the Centers for Medicare & Medicaid Services on 2008-04-08.

When was the Kerry P. Cogburn, Dds, Pa's information last updated?

The Kerry P. Cogburn, Dds, Pa's information was last updated on 2008-04-08.

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