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Contact Information

CAROLINAS CENTER FOR ENDODONTICS AND DENTAL MICROSURGER
200 DOCTORS DRIVE
SUITE G
JACKSONVILLE, NC28546
 Phone: 910-577-4330
 Fax: 910-577-3405
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for CAROLINAS CENTER FOR ENDODONTICS AND DENTAL MICROSURGER · (Female)

NPI Number 1689947871
Status Active
Credentials
Entity Individual
Enumeration date 02/17/2012
Last updated 12/07/2022 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 5831
  • NC License # 5846
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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