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Contact Information

JEFF COLLINS, DDS
216 EAST WARDELL RD
PEMBROKE, NC28372
 Phone: 910-521-8646
 Fax: 910-521-8643
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JEFF COLLINS · (Male)

NPI # 1396969515
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/11/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 4622
  • NC Medicaid 8991735
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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