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Contact Information

JOHN D CIVILS JR, DDS
1114 MAGNOLIA ST
GREENSBORO, NC27401
 Phone: 336-272-4177
 Fax: 336-272-6313
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JOHN D CIVILS JR · (Male)

NPI Number 1134184096
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 7218
  • NC Medicaid 89902V5
  • NC Other 902V5 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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