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Contact Information

JENNIFER TEDDER, DDS, PA
400 PEACHTREE STREET
ROCKY MOUNT, NC27804-4831
 Phone: 252-985-3636
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for JENNIFER TEDDER, DDS, PA

NPI Number 1891909578
LBN Legal business name JENNIFER TEDDER, DDS, PA
Authorized official JENNIFER TEDDER - (ENDODONTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NC License # 6608
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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