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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

NPI # 1689947871
LBN Legal business name CAROLINAS CENTER FOR ENDODONTICS AND DENTAL MICROSURGER
Authorized official STUART MILLER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/17/2012
Last updated 12/07/2022 - About 3 years ago
Identifiers
NC License # 5831
NC License # 5846
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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