Kerry P Cogburn D.D.S. P.A.

NPI 1063441616 - Dentist - 1223G0001X

NPI Details
NPI 1063441616
Gender Male
Enumeration Date 07/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
418 JONES COVE RD
CLYDE NC, 28721-9458, US
Phone (828) 627-9285
Fax (828) 627-9287
Business Location
272 STONEY BROOK DR
CLYDE NC, 28721-8537, US
Phone (828) 627-6412
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State North Carolina
License Number 3906
Remove 1063441616 NPI Number
 

According to our database, Dr. Kerry P Cogburn D.D.S. P.A. NPI is 1063441616, taxonomy code is 1223G0001X and license number is 3906, license state is located at North Carolina. Kerry P Cogburn D.D.S. P.A. physically located at 418 Jones Cove Rd, Clyde NC, 28721-9458. NPI Number Kerry P Cogburn D.D.S. P.A. has the Individual type.

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1063441616 NPI number is provided on an as is basis without warranty of any kind. 1063441616 is maintained by the National Plan & Provider Enumeration System. The contents of Kerry P Cogburn D.D.S. P.A. are for informational purposes only.